| Mackenzie Costello, CRNP | |
|
1630 Main St Ste 101, Chester, MD 21619-2792 | |
| (410) 604-6560 | |
| (410) 643-5789 |
| Full Name | Mackenzie Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1630 Main St Ste 101, Chester, Maryland |
| 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 |
|---|---|---|---|
| 1548797376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN1033652 (District Of Columbia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R227450 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umd Shore Medical Center At Easton | Easton, MD | Hospital |
| University Of Md Shore Medical Ctr At Chestertown | Chestertown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Costello, CRNP 1630 Main St Ste 101, Chester, MD 21619-2792 Ph: (410) 604-6560 | Mackenzie Costello, CRNP 1630 Main St Ste 101, Chester, MD 21619-2792 Ph: (410) 604-6560 |
Ms. Stephanie Rose Tippett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Chester Plz, Chester, MD 21619 Phone: 443-249-3232 Fax: 443-249-3817 | |
Olivia Jacquelyn Warner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Kent Town Market, Chester, MD 21619 Phone: 667-343-9501 | |
Sarah Callanan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St, Suite 101, Chester, MD 21619 Phone: 410-604-6560 | |
Mrs. Hannah Baxter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 140-604-6560 | |
Joyce Flynt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 410-604-6560 | |
Mrs. Vaneica Dawn Nordhoff, CRNP-F Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Main St, Chester, MD 21619 Phone: 410-604-6560 | |
Stephanie Robinson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Chester Plz, Chester, MD 21619 Phone: 443-249-3232 |