Dr Michael L Costello, DDS - Medicare Dentist in South Milwaukee, WI

Dr Michael L Costello, DDS is a medicare enrolled "Dentist - General Practice" provider in South Milwaukee, Wisconsin. His current practice location is 1333 College Ave, Suite C, South Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 764-6070.

Dr Michael L Costello is licensed to practice in Wisconsin (license number 2736) 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 1073527222.

Contact Information

Dr Michael L Costello, DDS
1333 College Ave, Suite C,
South Milwaukee, WI 53172-1150
(414) 764-6070
(414) 764-3035



Healthcare Provider's Profile

Full NameDr Michael L Costello
GenderMale
SpecialityDentist - General Practice
Location1333 College Ave, South Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073527222
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022335561
  • Enrollment ID: I20150323001141

Medical Identifiers

Medical identifiers for Dr Michael L Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073527222NPI-NPPES
38387300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2736 (Wisconsin)Primary

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. Dr Michael L 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
Dr Michael L Costello, DDS
1333 College Ave, Suite C,
South Milwaukee, WI 53172-1150

Ph: (414) 764-6070
Dr Michael L Costello, DDS
1333 College Ave, Suite C,
South Milwaukee, WI 53172-1150

Ph: (414) 764-6070

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› Verified 1 days ago


Dentist in South Milwaukee, WI

Kaitlin Anne Jasper, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Madison Ave, South Milwaukee, WI 53172
Phone: 414-764-6760    
Dr. Darrell A Francis, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 519 Milwaukee Ave, South Milwaukee, WI 53172
Phone: 414-762-3711    
Michael K Shinners, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 15th Ave, South Milwaukee, WI 53172
Phone: 414-764-0212    
Mr. Nicholas James Sabel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3500 18th Ave, South Milwaukee, WI 53172
Phone: 414-840-8779    
Dr. Michael Francis Martin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Madison Ave, South Milwaukee, WI 53172
Phone: 414-764-6760    
Mr. Melvin F Foley, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Milwaukee Ave, South Milwaukee, WI 53172
Phone: 414-762-2300    Fax: 414-563-0004

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