Madelene Costello, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Newark, Texas. Her current practice location is
980 Georgetta Ln, Newark, Texas. You can reach out to her office (for appointments etc.) via phone at
(509) 961-0271.
Madelene Costello is licensed to practice in Texas (license number 1021688) 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 1366131815.
Provider's Profile
| Full Name | Madelene Costello |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 980 Georgetta Ln, Newark, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366131815
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204377716
- Enrollment ID: I20240924004765
Medical Identifiers
Medical identifiers for Madelene Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366131815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1021688 (Texas) | 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. Madelene Costello allows following entities to bill medicare on her behalf.
| Entity Name | Infinite Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20211019000012 |
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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. Madelene 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 |
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Madelene Costello, MSN, APRN, FNP-BC
3900 Grapevine Mills Pkwy Unit 2428,
Grapevine, TX 76051-0929
Ph: () - | Madelene Costello, MSN, APRN, FNP-BC
980 Georgetta Ln,
Newark, TX 76071-3899
Ph: (509) 961-0271 |
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