Susan Marie Costello, APRN - Medicare Nurse Practitioner in Western Springs, IL

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Susan Marie Costello, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Western Springs, Illinois. Her current practice location is 4471 Lawn Ave Ste 202, Western Springs, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 428-7890.

Susan Marie Costello is licensed to practice in Illinois (license number 209.0257534) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417704362.

Contact Information

Susan Marie Costello, APRN
4471 Lawn Ave Ste 202,
Western Springs, IL 60558-1765
(708) 428-7890
Not Available

Map and Direction




Provider's Profile

Full NameSusan Marie Costello
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4471 Lawn Ave Ste 202, Western Springs, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417704362
  • Provider Enumeration Date: 04/30/2024
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476098153
  • Enrollment ID: I20240717004296

Medical Identifiers

Medical identifiers for Susan Marie Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417704362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.0257534 (Illinois)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. Susan Marie Costello allows following entities to bill medicare on her behalf.
Entity NameRockford Psychiatric Medical Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821391442
PECOS PAC ID: 6901089515
Enrollment ID: O20110318000777
Entity NameEdgewood Clinical Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228

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. Susan Marie 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
Susan Marie Costello, APRN
11252 S Saint Louis Ave,
Chicago, IL 60655-3536

Ph: (773) 946-7738		Susan Marie Costello, APRN
4471 Lawn Ave Ste 202,
Western Springs, IL 60558-1765

Ph: (708) 428-7890

Reviews and Comments


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Phone: 708-387-1737    
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Phone: 708-387-1737    Fax: 708-794-8672

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.