Thomas E Costello, MD - Medicare in Melville, NY

Thomas E Costello, MD is a medicare enrolled "Family Medicine" provider in Melville, New York. His current practice location is 150 Broadhollow Rd Ste 120, Melville, New York. You can reach out to his office (for appointments etc.) via phone at (631) 450-1400.

Thomas E Costello is licensed to practice in New York (license number 267336) 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 1093957342.

Contact Information

Thomas E Costello, MD
150 Broadhollow Rd Ste 120,
Melville, NY 11747-4901
(631) 450-1400
Not Available



Healthcare Provider's Profile

Full NameThomas E Costello
GenderMale
SpecialityFamily Medicine
Location150 Broadhollow Rd Ste 120, Melville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093957342
  • Provider Enumeration Date: 04/01/2009
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264673128
  • Enrollment ID: I20130719000184

Medical Identifiers

Medical identifiers for Thomas E Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093957342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 011915 (New York)Secondary
207Q00000XFamily Medicine 267336 (New York)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. Thomas E Costello allows following entities to bill medicare on his behalf.
Provider NameChs Physician Partners Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164585725
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027

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Provider NameSun River Health Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375

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Provider NameDigestive Disease Care, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184871774
PECOS PAC ID: 7113093071
Enrollment ID: O20080829000434

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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. Thomas E 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
Thomas E Costello, MD
Po Box 464,
Huntington Station, NY 11746-0374

Ph: () -
Thomas E Costello, MD
150 Broadhollow Rd Ste 120,
Melville, NY 11747-4901

Ph: (631) 450-1400

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› Verified 3 days ago



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