Mr Joseph Kennedy Costello Iv, MD - General Practice in Omaha, NE

Mr Joseph Kennedy Costello Iv, MD is a General Practice physician based in Omaha, Nebraska. Mr Joseph Kennedy Costello Iv is licensed to practice in Nebraska (license number 25900) and his current practice location is 224 N. 49th St. #4a, Omaha, Nebraska. He can be reached at his office (for appointments etc.) via phone at (402) 659-4247.

NPI number for Mr Joseph Kennedy Costello Iv is 1255644787 and his current mailing address is 224 N. 49th St. #4a, Omaha, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255644787.

Contact Information

Mr Joseph Kennedy Costello Iv, MD
224 N. 49th St. #4a,
Omaha, NE 68132
(402) 659-4247
Not Available



Physician's Profile

Full NameMr Joseph Kennedy Costello Iv
GenderMale
SpecialityGeneral Practice
Location224 N. 49th St. #4a, Omaha, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255644787
  • Provider Enumeration Date: 07/26/2010
  • Last Update Date: 01/15/2013

Medical Identifiers

Medical identifiers for Mr Joseph Kennedy Costello Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255644787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice PENDING (Nebraska)Secondary
208D00000XGeneral Practice 25900 (Nebraska)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. Mr Joseph Kennedy Costello Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Joseph Kennedy Costello Iv, MD
224 N. 49th St. #4a,
Omaha, NE 68132

Ph: (402) 659-4247
Mr Joseph Kennedy Costello Iv, MD
224 N. 49th St. #4a,
Omaha, NE 68132

Ph: (402) 659-4247

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› Verified 1 days ago


General Practice Doctors in Omaha, NE

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Arthur Weaver, D.O.
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Phone: 402-559-1018    

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