Dr Jacob Coy Costello, DPT in Omaha, NE - Medicare Physical Therapy Provider

Dr Jacob Coy Costello, DPT is a medicare enrolled "Physical Therapist" provider in Omaha, Nebraska. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is 825 N 90th St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 933-8900.

Dr Jacob Coy Costello is licensed to practice in Nebraska (license number 2554) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275737470.

Contact Information

	Dr Jacob Coy Costello, DPT
	825 N 90th St, Omaha, NE 68114-2702
	(402) 933-8900
	(402) 393-9388

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Coy Costello
Gender	Male
Speciality	Physical Therapy
Experience	17 Years
Location	825 N 90th St, Omaha, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Coy Costello graduated from medical school in 2007

NPI Data:

NPI Number: 1275737470
Provider Enumeration Date: 06/12/2007
Last Update Date: 06/12/2020

Medicare PECOS Information:

PECOS PAC ID: 1153421821
Enrollment ID: I20070710000761

Medical Identifiers

Medical identifiers for Dr Jacob Coy Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275737470	NPI	-	NPPES
10025410100	Medicaid	NE
CK3588	Other	NE	RR MEDICARE
10025768700	Medicaid	NE
47082113700	Medicaid	NE
P00453830	Other	NE	MEDICARE RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	004086 (Iowa)	Secondary
335E00000X	Prosthetic/orthotic Supplier	2554 (Nebraska)	Secondary
225100000X	Physical Therapist	2554 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1963

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. Dr Jacob Coy Costello allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912670753 PECOS PAC ID: 4789602681 Enrollment ID: O20210902002037

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. Dr Jacob Coy 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
Dr Jacob Coy Costello, DPT 8642 F St, Omaha, NE 68127-1639 Ph: (402) 393-9390	Dr Jacob Coy Costello, DPT 825 N 90th St, Omaha, NE 68114-2702 Ph: (402) 933-8900

Reviews and Comments

Physical Therapist in Omaha, NE

Ms. Mary Elizabeth Neary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13609 California St, Omaha, NE 68154 Phone: 402-938-2030
Alison Helen Larsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9109 Blondo St, Omaha, NE 68134 Phone: 402-399-9993 Fax: 402-778-9739
Dr. James Baxa, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 N 80th Ave, Omaha, NE 68122 Phone: 402-319-7396
Joseph Osovski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Grover St, Omaha, NE 68106 Phone: 402-558-0225
Mrs. Kelsi Blair Lemon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11623 Arbor St, Omaha, NE 68144 Phone: 800-334-1919
Allison Chae Jochimsen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-401-3900
Hailey Christine Comer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Omaha, NE 68178 Phone: 402-280-2700

Dr Jacob Coy Costello, DPT - Medicare Physical Therapist in Omaha, NE