Mrs Diane Marie Costa, NP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Bristol, Rhode Island. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
42 Basswood Dr, Bristol, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 424-1825.
Mrs Diane Marie Costa is licensed to practice in Rhode Island (license number NPP37575) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881902096.
Physician's Profile
Full Name | Mrs Diane Marie Costa |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | 42 Basswood Dr, Bristol, Rhode Island |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Diane Marie Costa graduated from medical school in 2009
NPI Data:
- NPI Number: 1881902096
- Provider Enumeration Date: 09/22/2010
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486816378
- Enrollment ID: I20120511000065
Medical Identifiers
Medical identifiers for Mrs Diane Marie Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881902096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | CAPRN01044 (Rhode Island) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | NPP37575 (Rhode Island) | 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. Mrs Diane Marie Costa allows following entities to bill medicare on her behalf.
Entity Name | Avenir Ventures Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235317371 PECOS PAC ID: 1153593017 Enrollment ID: O20120417000783 |
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Entity Name | A Knew You And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790391365 PECOS PAC ID: 6406267228 Enrollment ID: O20201201000513 |
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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. Mrs Diane Marie 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 |
Mrs Diane Marie Costa, NP 42 Basswood Dr, Bristol, RI 02809-4912 Ph: (401) 655-2031 | Mrs Diane Marie Costa, NP 42 Basswood Dr, Bristol, RI 02809-4912 Ph: (401) 424-1825 |
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