Larissa Gouvea Jose Felicio Da Costa, MD in Charleston, SC

Larissa Gouvea Jose Felicio Da Costa, MD is a medicare enrolled "Ophthalmology" physician in Charleston, South Carolina. Her current practice location is 167 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-2020.

Larissa Gouvea Jose Felicio Da Costa is licensed to practice in South Carolina (license number MMD90902AL) 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 1497533517.

Contact Information

	Larissa Gouvea Jose Felicio Da Costa, MD
	167 Ashley Ave, Charleston, SC 29425-8905
	(843) 792-2020
	Not Available

Map and Direction

Physician's Profile

Full Name	Larissa Gouvea Jose Felicio Da Costa
Gender	Female
Speciality	Ophthalmology
Location	167 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497533517
Provider Enumeration Date: 09/19/2023
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6103272208
Enrollment ID: I20231025003831

Medical Identifiers

Medical identifiers for Larissa Gouvea Jose Felicio Da Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497533517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0110X	Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist	MMD90902AL (South Carolina)	Secondary
207WX0120X	Ophthalmology - Cornea And External Diseases Specialist	MMD90902AL (South Carolina)	Secondary
207W00000X	Ophthalmology	MMD90902AL (South Carolina)	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. Larissa Gouvea Jose Felicio Da Costa allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Larissa Gouvea Jose Felicio Da 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
Larissa Gouvea Jose Felicio Da Costa, MD 167 Ashley Ave, Charleston, SC 29425-8905 Ph: () -	Larissa Gouvea Jose Felicio Da Costa, MD 167 Ashley Ave, Charleston, SC 29425-8905 Ph: (843) 792-2020

Reviews and Comments

Ophthalmology Doctors in Charleston, SC

Kenneth A Sharpe, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3531 Mary Ader Ave, Charleston, SC 29414 Phone: 843-352-0674
Dr. Andrew Steven Eiseman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Scott Alan Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Hao Tang, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 167 Ashley Ave # Msc676, Charleston, SC 29425 Phone: 843-792-2020 Fax: 843-792-1166
M Edward Wilson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Edward William Trudo Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
John Weaver, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414

Larissa Gouvea Jose Felicio Da Costa, MD - Medicare Ophthalmology in Charleston, SC