Ms Mary Anne Lisa Costerella, MA, LADC in Glastonbury, CT

Ms Mary Anne Lisa Costerella, MA, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Glastonbury, Connecticut. Her current practice location is 110 National Dr, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 657-8910.

Ms Mary Anne Lisa Costerella is licensed to practice in Connecticut (license number #000527) 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 1326212143.

Contact Information

	Ms Mary Anne Lisa Costerella, MA, LADC
	110 National Dr, Glastonbury, CT 06033-4371
	(860) 657-8910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mary Anne Lisa Costerella
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	110 National Dr, Glastonbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326212143
Provider Enumeration Date: 04/14/2008
Last Update Date: 04/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6002256401
Enrollment ID: I20240502001593

Medical Identifiers

Medical identifiers for Ms Mary Anne Lisa Costerella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326212143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	#000527 (Connecticut)	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. Ms Mary Anne Lisa Costerella allows following entities to bill medicare on her behalf.

Entity Name	Rushford Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535

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. Ms Mary Anne Lisa Costerella 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
Ms Mary Anne Lisa Costerella, MA, LADC 110 National Dr, Glastonbury, CT 06033-4371 Ph: (860) 657-8910	Ms Mary Anne Lisa Costerella, MA, LADC 110 National Dr, Glastonbury, CT 06033-4371 Ph: (860) 657-8910

Reviews and Comments

Counselor in Glastonbury, CT

Dr. Judy Robbins, PSYD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 262 Conestoga Way, Glastonbury, CT 06033 Phone: 860-633-3992 Fax: 860-430-9517
Kristen Marie Finneran, LPC, RECOVERY COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Main Street, Tradisng Spaces Aba, Llc Attn: Kristen M Finneran, Glastonbury, CT 06033 Phone: 203-417-6919
Mr. Michael Steady, CRC, LADC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033 Phone: 860-918-1782 Fax: 860-346-9041
John Thomas Lefevre, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Hebron Ave, Glastonbury, CT 06033 Phone: 860-777-6433
Tavia Briscoe, Counselor Medicare: Medicare Enrolled Practice Location: 33 Pratt St, Glastonbury, CT 06033 Phone: 860-731-5522 Fax: 860-731-5536
Ms. Lynne M Finnegan-bailey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Sycamore Commons, Glastonbury, CT 06033 Phone: 860-714-2750 Fax: 860-714-8591
Wendy Liebman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 163 Olde Stage Rd, Glastonbury, CT 06033 Phone: 860-810-3642

Ms Mary Anne Lisa Costerella, MA, LADC - Medicare Counselor in Glastonbury, CT