| Dr Michael W Costello, MD | |
|
22911 Jefferson Blvd, Smithsburg, MD 21783-1617 | |
| (301) 824-3343 | |
| Not Available |
| Full Name | Dr Michael W Costello |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 22911 Jefferson Blvd, Smithsburg, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740250125 | NPI | - | NPPES |
| 1621121 | Other | UNITED | |
| 522924-09 | Other | CAREFIRST BCBS MARYLAND | |
| W567-0012 | Other | CAREFIRST BCBS GHMSI | |
| 168371300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0041378 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Call | Frederick, MD | Home health agency |
| Meritus Medical Center, Inc | Hagerstown, MD | Home health agency |
| Community Home Health Care, Inc. | Chambersburg, PA | Home health agency |
| Frederick Health Hospice | Frederick, MD | Hospice |
| Frederick Health Hospital | Frederick, MD | Hospital |
| Meritus Medical Center | Hagerstown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meritus Medical Center Inc | 7113811795 | 730 |
| Amber Hill Physical Therapy Inc | 8527963917 | 336 |
| Medical Practices Of Antietam, Llc | 2567353865 | 229 |
| Entity Name | Medical Practices of Antietam, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710854963 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
| Entity Name | Frederick Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael W Costello, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: Not Available | Dr Michael W Costello, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: (301) 824-3343 |