John Costello, MD in Charleston, SC - Medicare

John Costello, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

John Costello is licensed to practice in South Carolina (license number 52686) 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 1053302992.

Contact Information

	John Costello, MD
	171 Ashley Ave, Charleston, SC 29425
	(843) 792-1414
	Not Available

Physician's Profile

Full Name	John Costello
Gender	Male
Speciality
Experience	Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Costello attended and graduated from in

NPI Data:

NPI Number: 1053302992
Provider Enumeration Date: 10/31/2005
Last Update Date: 02/18/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1053302992	NPI	-	NPPES
2014416	Medicaid	MA
97288001	Other	MA	NETWORK HEALTH
TUFTS HEALTH PLAN	Other	MA	217260
JC51504	Medicaid	RI
25-01706	Other	MA	UNITED HEALTHCARE MA
J26530	Other	MA	HMO BLUE
3253447	Other	MA	AETNA MA
26528	Other	MA	BMC HEALTHNET
32292	Other	MA	NEIGHBORHOOD HEALTH PLAN
AA9211	Other	MA	HARVARD PILGRIM
J26530	Other	MA	BCBS MA
J26530	Other	MA	BLUE CARE ELECT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	217260 (Massachusetts)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	52686 (South Carolina)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	52686 (South Carolina)	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. John 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
John Costello, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	John Costello, MD 171 Ashley Ave, Charleston, SC 29425 Ph: (843) 792-1414

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Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265

John Costello, MD - Medicare in Charleston, SC