Kristopher Costello, CRNA in Dodge City, KS - Medicare Certified Registered Nurse Anesthetist (crna)

Kristopher Costello, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dodge City, Kansas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Carson Tahoe Physician Hospital Organization, Llc and his current practice location is 3001 Avenue A, Dodge City, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 225-8400.

Kristopher Costello is licensed to practice in Kansas (license number TMP-155882) 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 1629586649.

Contact Information

	Kristopher Costello, CRNA
	3001 Avenue A, Dodge City, KS 67801-2270
	(620) 225-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristopher Costello
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	3001 Avenue A, Dodge City, Kansas
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:

Kristopher Costello graduated from nursing school in 2017

NPI Data:

NPI Number: 1629586649
Provider Enumeration Date: 01/11/2018
Last Update Date: 01/11/2018

Medicare PECOS Information:

PECOS PAC ID: 7517227614
Enrollment ID: I20191120001680

Medical Identifiers

Medical identifiers for Kristopher Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629586649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	TMP-155882 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carson Tahoe Regional Medical Center	Carson city, NV	Hospital
William Bee Ririe Hospital	Ely, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carson Tahoe Physician Hospital Organization, Llc	8628465721	25

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. Kristopher Costello allows following entities to bill medicare on his behalf.

Entity Name	William Bee Ririe Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20031104000372

Entity Name	Carson Tahoe Physician Hospital Organization, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777

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. Kristopher 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
Kristopher Costello, CRNA 904 Ragan Rd, Dodge City, KS 67801-2950 Ph: (928) 660-2202	Kristopher Costello, CRNA 3001 Avenue A, Dodge City, KS 67801-2270 Ph: (620) 225-8400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dodge City, KS

Dr. Dana Alan Reynolds, EDD, MS, ARNP-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2811 Avenue A, Apt. A, Dodge City, KS 67801 Phone: 620-371-6140
Martha Jane Marples, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046
Jason Witzel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 107 Corral Way Apt A, Dodge City, KS 67801 Phone: 205-585-1301
Anthony F Bartello, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046
Mrs. Jacquelyn Edith Rockman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Cherry St, Dodge City, KS 67801 Phone: 334-549-2903
Terry A Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046

Kristopher Costello, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dodge City, KS