Gary Costa, is a
Case Manager/care Coordinator based in Bend, Oregon. Gary Costa is licensed to practice in * (Not Available) (license number ) and his current practice location is
1128 Nw Harriman St, Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 777-0755.
NPI number for Gary Costa is 1568820777 and his current mailing address is 78 Centennial Loop Ste A, Eugene, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568820777.
Healthcare Provider's Profile
Full Name | Gary Costa |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 1128 Nw Harriman St, Bend, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568820777
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for Gary Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568820777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Gary Costa 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 Address | Practice Location Address |
Gary Costa, 78 Centennial Loop Ste A, Eugene, OR 97401-7900 Ph: () - | Gary Costa, 1128 Nw Harriman St, Bend, OR 97703-1947 Ph: (541) 777-0755 |
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