Justin Costello, DO - Medicare Diagnostic Radiology in San Antonio, TX

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Justin Costello, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Antonio, Texas. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southeast Iowa Regional Medical Center Inc, Avera Mckennan, Diagnostic Radiology Pc, Spartanburg Medical Center and his current practice location is 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-5545.

Justin Costello is licensed to practice in Nebraska (license number 973) 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 1215235916.

Contact Information

Justin Costello, DO
3851 Roger Brooke Drive, Fort Sam Houston,
San Antonio, TX 78234-6200
(210) 916-5545
Not Available

Map and Direction




Physician's Profile

Full NameJustin Costello
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, Texas
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:
  • Justin Costello graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1215235916
  • Provider Enumeration Date: 03/03/2011
  • Last Update Date: 02/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799054326
  • Enrollment ID: I20170925002292

Medical Identifiers

Medical identifiers for Justin Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215235916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 973 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Regional Medical CenterKirksville, MOHospital
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Spartanburg Medical CenterSpartanburg, SCHospital
Avera Sacred Heart HospitalYankton, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Iowa Regional Medical Center Inc3870496417252
Avera Mckennan0345157103927
Diagnostic Radiology Pc226449157055
Spartanburg Medical Center3072425297977

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. Justin Costello allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518244086
PECOS PAC ID: 6608199880
Enrollment ID: O20141218001909
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20210831003686

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. Justin 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
Justin Costello, DO
3851 Roger Brooke Drive, Fort Sam Houston,
San Antonio, TX 78234-6200

Ph: () -		Justin Costello, DO
3851 Roger Brooke Drive, Fort Sam Houston,
San Antonio, TX 78234-6200

Ph: (210) 916-5545

Reviews and Comments


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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.

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