Katharine Costa, RN, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Central Falls, Rhode Island. Her current practice location is
1000 Broad St, Central Falls, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 722-0081.
Katharine Costa is licensed to practice in Rhode Island (license number APRN02106) 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 1548749682.
Provider's Profile
| Full Name | Katharine Costa |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1000 Broad St, Central Falls, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548749682
- Provider Enumeration Date: 08/09/2018
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456787068
- Enrollment ID: I20200130000235
Medical Identifiers
Medical identifiers for Katharine Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548749682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0200X | Registered Nurse - Pediatrics | RN63417 (Rhode Island) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 926479 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN02106 (Rhode Island) | 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. Katharine Costa allows following entities to bill medicare on her behalf.
| Entity Name | Blackstone Valley Community Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063574135
PECOS PAC ID: 8628045762
Enrollment ID: O20040916000775 |
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| Entity Name | Prospect Chartercare Sjhsri Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928 |
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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. Katharine 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 |
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Katharine Costa, RN, NP
39 East Ave,
Pawtucket, RI 02860-4003
Ph: (401) 316-6345 | Katharine Costa, RN, NP
1000 Broad St,
Central Falls, RI 02863-1507
Ph: (401) 722-0081 |
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