Amanda Costella, in Bridgeport, CT - Medicare Nurse Practitioner

Amanda Costella, is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impact Health Pc and her current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-4677.

Amanda Costella is licensed to practice in Connecticut (license number 7888) 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 1245705516.

Contact Information

	Amanda Costella,
	267 Grant St, Bridgeport, CT 06610-2805
	(203) 384-4677
	(203) 384-3135

Map and Direction

Provider's Profile

Full Name	Amanda Costella
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	267 Grant St, Bridgeport, Connecticut
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:

Amanda Costella graduated from nursing school in 2018

NPI Data:

NPI Number: 1245705516
Provider Enumeration Date: 10/12/2018
Last Update Date: 12/19/2019

Medicare PECOS Information:

PECOS PAC ID: 7618214750
Enrollment ID: I20190128000445

Medical Identifiers

Medical identifiers for Amanda Costella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245705516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7888 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Griffin Hospital	Derby, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Impact Health Pc	0941562664	46

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. Amanda Costella allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Entity Name	Impact Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315

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. Amanda Costella 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
Amanda Costella, 20 York Street, Cb-329, New Haven, CT 06510-3220 Ph: (203) 688-1734	Amanda Costella, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-4677

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Amanda Costella, - Medicare Nurse Practitioner in Bridgeport, CT