Mrs Erin R Costanzo, APRN FNPC in Dallas, GA - Medicare Nurse Practitioner

Mrs Erin R Costanzo, APRN FNPC is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Georgia. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifetime Family Medicine,llc and her current practice location is 7869 Villa Rica Hwy, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 459-4411.

Mrs Erin R Costanzo is licensed to practice in Georgia (license number RN146776NP) 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 1649244997.

Contact Information

	Mrs Erin R Costanzo, APRN FNPC
	7869 Villa Rica Hwy, Dallas, GA 30157
	(770) 459-4411
	(770) 459-2424

Map and Direction

Provider's Profile

Full Name	Mrs Erin R Costanzo
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	7869 Villa Rica Hwy, Dallas, Georgia
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 Erin R Costanzo graduated from nursing school in 2004

NPI Data:

NPI Number: 1649244997
Provider Enumeration Date: 02/14/2006
Last Update Date: 01/19/2010

Medicare PECOS Information:

PECOS PAC ID: 0547294522
Enrollment ID: I20050920000294

Medical Identifiers

Medical identifiers for Mrs Erin R Costanzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649244997	NPI	-	NPPES
453616500A	Medicaid	GA
453616500B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN146776NP (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Medical Center Villa Rica	Villa rica, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifetime Family Medicine,llc	3577646736	5

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 Erin R Costanzo allows following entities to bill medicare on her behalf.

Entity Name	Lifetime Family Medicine,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053509216 PECOS PAC ID: 3577646736 Enrollment ID: O20080211000608

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 Erin R Costanzo 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 Erin R Costanzo, APRN FNPC Po Box 608, Villa Rica, GA 30180 Ph: (770) 459-4411	Mrs Erin R Costanzo, APRN FNPC 7869 Villa Rica Hwy, Dallas, GA 30157 Ph: (770) 459-4411

Reviews and Comments

Nurse Practitioner Nurses in Dallas, GA

Kimberly Williams Naab, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837
Karen F Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-231-4783
Yolonda Michelle Rawls, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Parkmont Court, Dallas, GA 30132 Phone: 770-866-1777
Amy Evans, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Village Walk Ste 280, Dallas, GA 30132 Phone: 770-800-6780
Aline Ange Well, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837
Mr. Robert Dean Devlin Ii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Paulding Blvd, Dallas, GA 30157 Phone: 229-269-7889
Mrs. Amanda Elizabeth Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-445-2128

Mrs Erin R Costanzo, APRN FNPC - Medicare Nurse Practitioner in Dallas, GA