Kevin Costello, CRNA in Fort Bragg, NC - Medicare Nurse Anesthetist, Certified Registered

Kevin Costello, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Bragg, North Carolina. His current practice location is 2817 Reilly St, Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-8922.

Kevin Costello is licensed to practice in Georgia (license number RN245934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184161994.

Contact Information

	Kevin Costello, CRNA
	2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324
	(910) 907-8922
	(910) 907-6069

Map and Direction

Provider's Profile

Full Name	Kevin Costello
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2817 Reilly St, Fort Bragg, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184161994
Provider Enumeration Date: 01/31/2017
Last Update Date: 01/31/2017

Medicare PECOS Information:

PECOS PAC ID: 6406253905
Enrollment ID: I20210927001480

Medical Identifiers

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

Identifier	Type	State	Issuer
1184161994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN245934 (Georgia)	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. Kevin Costello allows following entities to bill medicare on his behalf.

Entity Name	Firsthealth Of The Carolinas Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442

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. Kevin 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
Kevin Costello, CRNA 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 Ph: (910) 907-8922	Kevin Costello, CRNA 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 Ph: (910) 907-8922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Bragg, NC

Mr. Richard Phillip Kirschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-7818
Leland Bradley Morgans, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8034
Jeffrey Deen Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Ms. Katrina Lynette Cheek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-970-6323
Thais Rodriguez Fletcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 254-319-4654
Allison Paige Martin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 336-529-0348
Stephanie Martinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Womack Army Medical Ctr, Department Of Anesthesia, Fort Bragg, NC 28310 Phone: 910-906-6778

Kevin Costello, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Bragg, NC