Thomas E Costello, MD is a medicare enrolled "Family Medicine" provider in Melville, New York. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Digestive Disease Care, Pc and his current practice location is
150 Broadhollow Rd Ste 120, Melville, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 450-1400.
Thomas E Costello is licensed to practice in New York (license number 267336) 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 1093957342.
Healthcare Provider's Profile
| Full Name | Thomas E Costello |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 150 Broadhollow Rd Ste 120, Melville, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas E Costello graduated from medical school in 2009
NPI Data:
- NPI Number: 1093957342
- Provider Enumeration Date: 04/01/2009
- Last Update Date: 03/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264673128
- Enrollment ID: I20130719000184
Medical Identifiers
Medical identifiers for Thomas E Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093957342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 011915 (New York) | Secondary |
| 207Q00000X | Family Medicine | 267336 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Digestive Disease Care, Pc | 7113093071 | 34 |
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. Thomas E Costello allows following entities to bill medicare on his behalf.
| Provider Name | Chs Physician Partners Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124497771
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027 |
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| Provider Name | Sun River Health Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375 |
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| Provider Name | Digestive Disease Care, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184871774
PECOS PAC ID: 7113093071
Enrollment ID: O20080829000434 |
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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. Thomas E 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 |
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Thomas E Costello, MD
Po Box 464,
Huntington Station, NY 11746-0374
Ph: () - | Thomas E Costello, MD
150 Broadhollow Rd Ste 120,
Melville, NY 11747-4901
Ph: (631) 450-1400 |
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