David Costello, CRNP in Gulfport, MS - Medicare Nurse Practitioner

David Costello, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc and his current practice location is 4300 15th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 864-0828.

David Costello is licensed to practice in Mississippi (license number 904287) 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 1104053420.

Contact Information

	David Costello, CRNP
	4300 15th St, Gulfport, MS 39501-2524
	(228) 864-0828
	Not Available

Map and Direction

Provider's Profile

Full Name	David Costello
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	4300 15th St, Gulfport, Mississippi
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:

David Costello graduated from nursing school in 2009

NPI Data:

NPI Number: 1104053420
Provider Enumeration Date: 06/12/2009
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5092852921
Enrollment ID: I20201228000816

Medical Identifiers

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

Identifier	Type	State	Issuer
1104053420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-064521 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	904287 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc	0042280067	10

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

Entity Name	Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366560435 PECOS PAC ID: 0042280067 Enrollment ID: O20040728000361

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. David 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
David Costello, CRNP 12825 Hanover Dr, Ocean Springs, MS 39564-2612 Ph: (205) 470-3721	David Costello, CRNP 4300 15th St, Gulfport, MS 39501-2524 Ph: (228) 864-0828

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

David Costello, CRNP - Medicare Nurse Practitioner in Gulfport, MS