Rebekah Costello, DO | |
3400 Market Ln, Kenosha, WI 53144-3430 | |
(262) 551-4600 | |
(262) 551-4630 |
Full Name | Rebekah Costello |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 10 Years |
Location | 3400 Market Ln, Kenosha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326452921 | NPI | - | NPPES |
1326452921 | Medicaid | WI | |
036.144957 | Other | IL | ILLINOIS MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 05775 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 71089-21 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 036.144957 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring | Des plaines, IL | Home health agency |
St Alexius Medical Center | Hoffman estates, IL | Hospital |
Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
Alden Poplar Creek Rehab & Hcc | Hoffman estates, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advance Midwest Medical Sc | 0648462325 | 3 |
Owensboro Health Medical Group Inc | 0648255034 | 357 |
Entity Name | St. Charles Family Medical Center, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912054891 PECOS PAC ID: 8628171246 Enrollment ID: O20070319000583 |
Entity Name | Advance Midwest Medical Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518281682 PECOS PAC ID: 0648462325 Enrollment ID: O20101013000734 |
Mailing Address | Practice Location Address |
---|---|
Rebekah Costello, DO 3400 Market Ln, Kenosha, WI 53144-3430 Ph: (262) 551-4600 | Rebekah Costello, DO 3400 Market Ln, Kenosha, WI 53144-3430 Ph: (262) 551-4600 |
Ali J Kilic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 | |
Dr. Vincent M Rizzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7080 Fax: 262-948-6818 |