Mary Colleen Costello, MD in Aurora, CO

Mary Colleen Costello, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Aurora, Colorado. Her current practice location is 13123 E 16th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 777-1234.

Mary Colleen Costello is licensed to practice in Colorado (license number DR.0070286) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306138672.

Contact Information

	Mary Colleen Costello, MD
	13123 E 16th Ave, Aurora, CO 80045-7106
	(720) 777-1234
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Colleen Costello
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	13123 E 16th Ave, Aurora, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306138672
Provider Enumeration Date: 05/05/2011
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8224409339
Enrollment ID: I20230128000373

Medical Identifiers

Medical identifiers for Mary Colleen Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306138672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD47246 (Tennessee)	Secondary
208000000X	Pediatrics	MD47246 (Tennessee)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD47246 (Tennessee)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	DR.0070286 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Colleen Costello allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Colleen Costello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Colleen Costello, MD Po Box 110429, Aurora, CO 80042-0429 Ph: () -	Mary Colleen Costello, MD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234

Reviews and Comments

Pediatrics Doctors in Aurora, CO

Dr. Jonathan Orsborn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Dr. Joel A. Friedlander, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 Fax: 720-777-7277
Dr. Emily Greenwald, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045 Phone: 720-777-1234
Jessica Boat Landry, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234
Robert Kramer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234
Richard W. Penland, Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 S Potomac St, Aurora, CO 80012 Phone: 303-695-2628 Fax: 303-306-7753
John Roger Hollister, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234

Mary Colleen Costello, MD - Medicare Pediatrics in Aurora, CO