Dr Amy Costello, MD in Ellsworth Afb, SD - Medicare Pediatrics

Dr Amy Costello, MD is a medicare enrolled "Pediatrics" physician in Ellsworth Afb, South Dakota. Her current practice location is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 385-3285.

Dr Amy Costello is licensed to practice in Virginia (license number 0101234865) 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 1144278318.

Contact Information

	Dr Amy Costello, MD
	2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821
	(605) 385-3285
	Not Available

Physician's Profile

Full Name	Dr Amy Costello
Gender	Female
Speciality	Pediatrics
Location	2900 Doolittle Dr, Ellsworth Afb, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144278318
Provider Enumeration Date: 05/04/2006
Last Update Date: 06/08/2016

Medicare PECOS Information:

PECOS PAC ID: 6507118411
Enrollment ID: I20181003003603

Medical Identifiers

Medical identifiers for Dr Amy Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144278318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101234865 (Virginia)	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 Amy 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
Dr Amy Costello, MD 22839 Gateway Rd, Box Elder, SD 57719 Ph: (605) 385-3285	Dr Amy Costello, MD 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 385-3285

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Pediatrics Doctors in Ellsworth Afb, SD

Dr. Caitlin Meyer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-6700
Dustin Ross Mayne, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 937-641-3000 Fax: 937-641-5931
Joshua R Duncan, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3466

Dr Amy Costello, MD - Medicare Pediatrics in Ellsworth Afb, SD