Carolyn Chay Costilow, in Oxford, MS - Medicare Nurse Anesthetist, Certified Registered

Carolyn Chay Costilow, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oxford, Mississippi. Her current practice location is 1100 Belk Blvd, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 636-1000.

Carolyn Chay Costilow is licensed to practice in Mississippi (license number 141317) 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 1538836846.

Contact Information

	Carolyn Chay Costilow,
	1100 Belk Blvd, Oxford, MS 38655-5242
	(662) 636-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Chay Costilow
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1100 Belk Blvd, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538836846
Provider Enumeration Date: 08/24/2021
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1153796370
Enrollment ID: I20230331000502

Medical Identifiers

Medical identifiers for Carolyn Chay Costilow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538836846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	141317 (Mississippi)	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. Carolyn Chay Costilow allows following entities to bill medicare on her behalf.

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

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. Carolyn Chay Costilow 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
Carolyn Chay Costilow, 124 Breckenridge Dr, Oxford, MS 38655-7502 Ph: () -	Carolyn Chay Costilow, 1100 Belk Blvd, Oxford, MS 38655-5242 Ph: (662) 636-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oxford, MS

Clifford Blaylock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 208 Rachelle Dr, Oxford, MS 38655 Phone: 662-281-8700
Julie Y. Fernanadez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8100 Fax: 334-244-1830
Penneye Holder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888
Kevin Bowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-377-4394
Lori Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 W Oxford Loop Ste 117, Oxford, MS 38655 Phone: 662-550-4299 Fax: 662-580-4324
Bradley Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100
Mrs. Laura Nicole Billingsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 Downing St, Oxford, MS 38655 Phone: 662-501-0119

Carolyn Chay Costilow, - Medicare Nurse Anesthetist, Certified Registered in Oxford, MS