Mackenzie Costello, CRNP in Chester, MD - Medicare Nurse Practitioner

Mackenzie Costello, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Chester, Maryland. Her current practice location is 1630 Main St Ste 101, Chester, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 604-6560.

Mackenzie Costello is licensed to practice in Maryland (license number R227450) 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 1548797376.

Contact Information

	Mackenzie Costello, CRNP
	1630 Main St Ste 101, Chester, MD 21619-2792
	(410) 604-6560
	(410) 643-5789

Map and Direction

Provider's Profile

Full Name	Mackenzie Costello
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1630 Main St Ste 101, Chester, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548797376
Provider Enumeration Date: 05/11/2017
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 7517238454
Enrollment ID: I20170810001677

Medical Identifiers

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

Identifier	Type	State	Issuer
1548797376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN1033652 (District Of Columbia)	Secondary
363LF0000X	Nurse Practitioner - Family	R227450 (Maryland)	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. Mackenzie Costello allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

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. Mackenzie 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
Mackenzie Costello, CRNP 1630 Main St Ste 101, Chester, MD 21619-2792 Ph: (410) 604-6560	Mackenzie Costello, CRNP 1630 Main St Ste 101, Chester, MD 21619-2792 Ph: (410) 604-6560

Reviews and Comments

Nurse Practitioner Nurses in Chester, MD

Ms. Stephanie Kay Spicer Rose, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1817 Chester Dr, Chester, MD 21619 Phone: 443-827-9122
Sarah Callanan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St, Suite 101, Chester, MD 21619 Phone: 410-604-6560
Mrs. Hannah Baxter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 140-604-6560
Joyce Flynt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 410-604-6560
Mrs. Vaneica Dawn Nordhoff, CRNP-F Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Main St, Chester, MD 21619 Phone: 410-604-6560
Stephanie Robinson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Chester Plz, Chester, MD 21619 Phone: 443-249-3232
Mrs. Gideon Archey, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1123 Parson Island Rd Apt Suite, Chester, MD 21619 Phone: 443-988-9999

Mackenzie Costello, CRNP - Medicare Nurse Practitioner in Chester, MD