Thomas E Costello, MD is a medicare enrolled "Family Medicine" provider in Melville, New York. His current practice location is
150 Broadhollow Rd Ste 120, Melville, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 450-1400.
Thomas E Costello is licensed to practice in New York (license number 267336) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093957342.
Healthcare Provider's Profile
Full Name | Thomas E Costello |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 150 Broadhollow Rd Ste 120, Melville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093957342
- Provider Enumeration Date: 04/01/2009
- Last Update Date: 03/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264673128
- Enrollment ID: I20130719000184
Medical Identifiers
Medical identifiers for Thomas E Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093957342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 011915 (New York) | Secondary |
207Q00000X | Family Medicine | 267336 (New York) | 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. Thomas E Costello allows following entities to bill medicare on his behalf.
Provider Name | Chs Physician Partners Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
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Provider Name | Sun River Health Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
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Provider Name | Digestive Disease Care, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1184871774 PECOS PAC ID: 7113093071 Enrollment ID: O20080829000434 |
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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. Thomas E 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 |
Thomas E Costello, MD Po Box 464, Huntington Station, NY 11746-0374 Ph: () - | Thomas E Costello, MD 150 Broadhollow Rd Ste 120, Melville, NY 11747-4901 Ph: (631) 450-1400 |
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