Dr Timothy D Costello, MD - Medicare Emergency Medicine in Harrison, AR

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Dr Timothy D Costello, MD is a medicare enrolled "Emergency Medicine" physician in Harrison, Arkansas. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Walton Rural Hospital Llc and his current practice location is 620 North Main, Harrison, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 365-2000.

Dr Timothy D Costello is licensed to practice in Arkansas (license number E-7237) 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 1235195785.

Contact Information

Dr Timothy D Costello, MD
620 North Main,
Harrison, AR 72601-2926
(870) 365-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy D Costello
GenderMale
SpecialityEmergency Medicine
Experience22 Years
Location620 North Main, Harrison, Arkansas
Accepts Medicare AssignmentsYes. 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 Timothy D Costello attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1235195785
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 11/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294914230
  • Enrollment ID: I20200820001669

Medical Identifiers

Medical identifiers for Dr Timothy D Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235195785NPI-NPPES
190603001MedicaidAR
51228OtherAR BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME137708 (Florida)Secondary
207P00000XEmergency Medicine 2011003498 (Missouri)Secondary
208D00000XGeneral Practice 0101236812 (Virginia)Secondary
207P00000XEmergency Medicine E-7237 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Sacred Heart GulfPort saint joe, FLHospital
Gulf Coast Regional Medical CenterPanama city, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Walton Rural Hospital Llc81235591687

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 Timothy D Costello allows following entities to bill medicare on his behalf.
Entity NamePanhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215948096
PECOS PAC ID: 6608854765
Enrollment ID: O20040713001524
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295442614
PECOS PAC ID: 6608056171
Enrollment ID: O20230131002198
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881
Entity NameNorth Walton Rural Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750142121
PECOS PAC ID: 8123559168
Enrollment ID: O20241119002404

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 Timothy D 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 AddressPractice Location Address
Dr Timothy D Costello, MD
2080 Child St,
Jacksonville, FL 32214-5005

Ph: (904) 542-3500		Dr Timothy D Costello, MD
620 North Main,
Harrison, AR 72601-2926

Ph: (870) 365-2000

Reviews and Comments


Emergency Medicine Doctors in Harrison, AR

Yevheniy Lider, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Main St, Harrison, AR 72601
Phone: 870-414-4000    Fax: 870-414-4949
Jacob Aaron Roberts, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 North Main, Harrison, AR 72601
Phone: 870-365-2000    Fax: 360-738-6377
Chadwick Leon Simpson, M. D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 511 Owl St, Harrison, AR 72601
Phone: 903-280-8889    
Dr. Raymond Kent Griffith, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 620 North Main, Harrison, AR 72601
Phone: 870-365-2000    Fax: 417-347-2149
Dr. Peter Anthony Maningas, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Main St, Harrison, AR 72601
Phone: 870-414-4000    
Todd F Baker, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 North Main, Harrison, AR 72601
Phone: 870-365-2000    Fax: 318-212-7505

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.