Kevin Costello, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Liberty, NC

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Kevin Costello, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Liberty, North Carolina. His current practice location is 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-8922.

Kevin Costello is licensed to practice in North Carolina (license number 006278) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184161994.

Contact Information

Kevin Costello, CRNA
2817 Rock Merritt Ave Womack Army Medical Center,
Fort Liberty, NC 28310-7324
(910) 907-8922
(910) 907-6069

Map and Direction




Provider's Profile

Full NameKevin Costello
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184161994
  • Provider Enumeration Date: 01/31/2017
  • Last Update Date: 02/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406253905
  • Enrollment ID: I20210927001480

Medical Identifiers

Medical identifiers for Kevin Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184161994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN245934 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 006278 (North Carolina)Primary

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. Kevin Costello allows following entities to bill medicare on his behalf.
Entity NameFirsthealth Of The Carolinas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053482596
PECOS PAC ID: 8820909377
Enrollment ID: O20040308000442

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. Kevin 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
Kevin Costello, CRNA
2817 Rock Merrit Ave Womack Army Medical Center,
Fort Liberty, NC 28310-7324

Ph: (910) 907-8922		Kevin Costello, CRNA
2817 Rock Merritt Ave Womack Army Medical Center,
Fort Liberty, NC 28310-7324

Ph: (910) 907-8922

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Liberty, NC

Mr. Kevin Travis Worth, RN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310
Phone: 910-907-6036    
Allison Paige Martin,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 336-529-0348    
Mr. Kristoffer Villamin, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Hannah Hawkinson Melkun, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    
Dr. Thomas Gerald Baughan Ii, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Randy James Landry, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310
Phone: 910-907-6323    

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.