Peter Costa, LICSW in Manchester, NH - Medicare Social Worker Provider

Peter Costa, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, New Hampshire. His current practice location is 1555 Elm St, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 668-4111.

Peter Costa is licensed to practice in New Hampshire (license number 1165) 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 1629174313.

Contact Information

	Peter Costa, LICSW
	1555 Elm St, Manchester, NH 03101-1203
	(603) 668-4111
	(603) 628-7757

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Costa
Gender	Male
Speciality	Social Worker - Clinical
Location	1555 Elm St, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629174313
Provider Enumeration Date: 09/16/2006
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7517932759
Enrollment ID: I20040831000751

Medical Identifiers

Medical identifiers for Peter Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629174313	NPI	-	NPPES
7706660Y0NH01	Other	NH	BLUE CROSS
2067742	Other	NH	CIGNA
020258994-25	Other	NH	HARVARD PILGRIM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1165 (New Hampshire)	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. Peter Costa allows following entities to bill medicare on his behalf.

Entity Name	The Mental Health Center Of Greater Manchester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609848811 PECOS PAC ID: 6709874274 Enrollment ID: O20040504000253

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. Peter Costa 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
Peter Costa, LICSW 2 Wall St Ste 300, Manchester, NH 03101-1518 Ph: (603) 668-4111	Peter Costa, LICSW 1555 Elm St, Manchester, NH 03101-1203 Ph: (603) 668-4111

Reviews and Comments

Social Worker in Manchester, NH

Dominique M Whiton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111
Mr. Samuel Sobel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757
Ms. Barbara Ellen Pines-brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366
Danielle M Panciocco, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757
Melissa K Bascom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2739 Fax: 603-663-2664
Rebecca Taggart Melia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702 Fax: 603-627-3643
Amy Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111

Peter Costa, LICSW - Medicare Clinical Social Worker in Manchester, NH