Kelly L Costello, MD - Medicare Pediatrics in Allentown, PA

Kelly L Costello, MD is a medicare enrolled "Pediatrics" physician in Allentown, Pennsylvania. Her current practice location is 401 N 17th St, Suite 203, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 821-4920.

Kelly L Costello is licensed to practice in Pennsylvania (license number MD059048L) 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 1801828884.

Contact Information

Kelly L Costello, MD
401 N 17th St, Suite 203,
Allentown, PA 18104-5034
(610) 821-4920
Not Available



Physician's Profile

Full NameKelly L Costello
GenderFemale
SpecialityPediatrics
Location401 N 17th St, Allentown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801828884
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 04/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7618236712
  • Enrollment ID: I20180118000814

Medical Identifiers

Medical identifiers for Kelly L Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801828884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD059048L (Pennsylvania)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. Kelly L Costello allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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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. Kelly 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
Kelly L Costello, MD
Po Box 1754,
Allentown, PA 18105-1754

Ph: () -
Kelly L Costello, MD
401 N 17th St, Suite 203,
Allentown, PA 18104-5034

Ph: (610) 821-4920

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Pediatrics Doctors in Allentown, PA

Dr. Ruchi Gupta, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 401 N 17th St, Suite 309, Allentown, PA 18104
Phone: 610-437-6687    
Dr. Douglas Mchale, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-7712    Fax: 224-484-1306
Dr. Sajani Jitendra Sukhadia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Pond Rd Ste 400, Allentown, PA 18104
Phone: 610-402-8000    
Dr. Heather Noreen Becker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-9750    
Sara S Viessman, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1627 W Chew St, Suite 601, Allentown, PA 18102
Phone: 610-969-2555    
Paige Payne, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 450 Chew St Ste 203, Allentown, PA 18102
Phone: 484-503-3058    
Daniel Helmut Ublagger, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd Fl 6, Allentown, PA 18103
Phone: 610-402-7712    Fax: 484-224-1306

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