Mrs Phyllis Pelfrey Costello, MSN in Augusta, GA

Mrs Phyllis Pelfrey Costello, MSN is a medicare enrolled "Nurse Practitioner" in Augusta, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Augusta Primary Care Services Llc and her current practice location is 3647 J Dewey Gray Cir Ste 200, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 504-9712.

Mrs Phyllis Pelfrey Costello is licensed to practice in Georgia (license number RN158279) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487081261.

Contact Information

	Mrs Phyllis Pelfrey Costello, MSN
	3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205
	(706) 504-9712
	(706) 504-9703

Map and Direction

Provider's Profile

Full Name	Mrs Phyllis Pelfrey Costello
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3647 J Dewey Gray Cir Ste 200, Augusta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Phyllis Pelfrey Costello attended and graduated from Medical College Of Georgia School Of Medicine in 2013

NPI Data:

NPI Number: 1487081261
Provider Enumeration Date: 10/11/2013
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9638302706
Enrollment ID: I20140428000139

Medical Identifiers

Medical identifiers for Mrs Phyllis Pelfrey Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487081261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN158279 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN158279 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doctors Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Augusta Primary Care Services Llc	2466513874	27

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 Phyllis Pelfrey Costello allows following entities to bill medicare on her behalf.

Entity Name	Augusta Primary Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952565210 PECOS PAC ID: 2466513874 Enrollment ID: O20090126000519

Entity Name	Pruitthealth Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113

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 Phyllis Pelfrey 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 Phyllis Pelfrey Costello, MSN Po Box 3548, Augusta, GA 30914-3548 Ph: (706) 863-9595	Mrs Phyllis Pelfrey Costello, MSN 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 Ph: (706) 504-9712

Reviews and Comments

Nurse Practitioner Nurses in Augusta, GA

Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549
Veronica Bradford, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257
Kristin Anderson Hannah, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8735
Magen Brooke Luke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375
Dr. Suzanne Dixson Thomas, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1916 N Leg Rd, Family Health Coordinator, East Central Health District, Augusta, GA 30909 Phone: 706-667-4285 Fax: 706-667-4607

Mrs Phyllis Pelfrey Costello, MSN - Medicare Nurse Practitioner in Augusta, GA