| Rebekah Costello, DO | |
|
3400 Market Ln, Kenosha, WI 53144-3430 | |
| (262) 551-4600 | |
| (262) 551-4630 |
| Full Name | Rebekah Costello |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 3400 Market Ln, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326452921 | NPI | - | NPPES |
| 1326452921 | Medicaid | WI | |
| 036.144957 | Other | IL | ILLINOIS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05775 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 71089-21 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | 036.144957 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health, Inc | 0547154650 | 128 |
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebekah Costello, DO 3400 Market Ln, Kenosha, WI 53144-3430 Ph: (262) 551-4600 | Rebekah Costello, DO 3400 Market Ln, Kenosha, WI 53144-3430 Ph: (262) 551-4600 |
Ali J Kilic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Myriam Jacynthe Donovitch, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 |