Magen Ashley Costilla, in Moreno Valley, CA - Medicare Nurse Practitioner

Magen Ashley Costilla, is a medicare enrolled "Nurse Practitioner" in Moreno Valley, California. Her current practice location is 26600 Cactus Ave Ste 300, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 988-9500.

Magen Ashley Costilla is licensed to practice in California (license number NP5017283) 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 1023756194.

Contact Information

	Magen Ashley Costilla,
	26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901
	(951) 988-9500
	Not Available

Map and Direction

Provider's Profile

Full Name	Magen Ashley Costilla
Gender	Female
Speciality	Nurse Practitioner
Location	26600 Cactus Ave Ste 300, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023756194
Provider Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6103295613
Enrollment ID: I20221205002885

Medical Identifiers

Medical identifiers for Magen Ashley Costilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023756194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP5017283 (California)	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. Magen Ashley Costilla allows following entities to bill medicare on her behalf.

Entity Name	County Of Riverside
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107

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. Magen Ashley Costilla 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
Magen Ashley Costilla, 20767 Center St, Riverside, CA 92507-0144 Ph: (909) 965-2018	Magen Ashley Costilla, 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901 Ph: (951) 988-9500

Reviews and Comments

Nurse Practitioner Nurses in Moreno Valley, CA

Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542

Magen Ashley Costilla, - Medicare Nurse Practitioner in Moreno Valley, CA