Shannon Costello, PA-C - Medicare Physician Assistant in Phoenix, AZ

Shannon Costello, PA-C is a medicare enrolled "Physician Assistant" in Phoenix, Arizona. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group Arizona Llc and her current practice location is 10240 W Indian School Rd Bldg 2, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (312) 465-7900.

Shannon Costello is licensed to practice in Arizona (license number 7559) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144865171.

Contact Information

Shannon Costello, PA-C
10240 W Indian School Rd Bldg 2,
Phoenix, AZ 85037-5904
(312) 465-7900
(847) 510-0772

Map and Direction




Provider's Profile

Full NameShannon Costello
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location10240 W Indian School Rd Bldg 2, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Costello graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1144865171
  • Provider Enumeration Date: 11/13/2019
  • Last Update Date: 11/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799111969
  • Enrollment ID: I20200206001279

Medical Identifiers

Medical identifiers for Shannon Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144865171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7559 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Arizona Llc3173872835198

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. Shannon 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
Shannon Costello, PA-C
1417 E Oxford Ln,
Gilbert, AZ 85295-4945

Ph: (480) 432-4349
Shannon Costello, PA-C
10240 W Indian School Rd Bldg 2,
Phoenix, AZ 85037-5904

Ph: (312) 465-7900

Reviews and Comments


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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.