Dr Mark Edward Costa, MD is a medicare enrolled "Internal Medicine" physician in Waban, Massachusetts. He went to Boston University School Of Medicine and graduated in 1984 and has 41 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
361 Woodward St, Waban, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 777-4080.
Dr Mark Edward Costa is licensed to practice in Massachusetts (license number 54772) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912997420.
Physician's Profile
Full Name | Dr Mark Edward Costa |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 41 Years |
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Location | 361 Woodward St, Waban, Massachusetts |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mark Edward Costa attended and graduated from Boston University School Of Medicine in 1984
NPI Data:
- NPI Number: 1912997420
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 08/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 0042297319
- Enrollment ID: I20040706000117
Medical Identifiers
Medical identifiers for Dr Mark Edward Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912997420 | NPI | - | NPPES |
054772 | Other | MA | TUFTS HEALTH PLAN |
J10005 | Other | MA | BCBS MA |
3131874 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 54772 (Massachusetts) | Primary |
Medical Facilities Affiliation
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. Dr Mark Edward Costa allows following entities to bill medicare on his behalf.
Entity Name | Enhanced Medical Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952525867 PECOS PAC ID: 0840379285 Enrollment ID: O20080509000337 |
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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. Dr Mark Edward 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 |
Dr Mark Edward Costa, MD 361 Woodward St, Waban, MA 02468-2027 Ph: (617) 777-4080 | Dr Mark Edward Costa, MD 361 Woodward St, Waban, MA 02468-2027 Ph: (617) 777-4080 |
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