Mrs Mary A Costello, ANP in New York, NY - Medicare Nurse Practitioner

Mrs Mary A Costello, ANP is a medicare enrolled "Nurse Practitioner" in New York, New York. Her current practice location is 525 E 68th St Ste M404, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 746-5156.

Mrs Mary A Costello is licensed to practice in Wisconsin (license number 100193) 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 1548426414.

Contact Information

	Mrs Mary A Costello, ANP
	525 E 68th St Ste M404, New York, NY 10065-4870
	(212) 746-5156
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary A Costello
Gender	Female
Speciality	Nurse Practitioner
Location	525 E 68th St Ste M404, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548426414
Provider Enumeration Date: 07/31/2008
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8325109614
Enrollment ID: I20081204000811

Medical Identifiers

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

Identifier	Type	State	Issuer
1548426414	NPI	-	NPPES
7004305	Medicaid	NC
NP1325	Medicaid	SC
100223521	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	201508795NP-PP (Oregon)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	C-APN.0001649-C-NP (Colorado)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	5004075 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	100193 (Wisconsin)	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. Mrs Mary A Costello allows following entities to bill medicare on her behalf.

Entity Name	Moses Cone Physician Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202

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. Mrs Mary A 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
Mrs Mary A Costello, ANP 160 W Camino Real # 255, Boca Raton, FL 33432-5942 Ph: (704) 252-1579	Mrs Mary A Costello, ANP 525 E 68th St Ste M404, New York, NY 10065-4870 Ph: (212) 746-5156

Reviews and Comments

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Mrs Mary A Costello, ANP - Medicare Nurse Practitioner in New York, NY