Mrs Lety Elizabeth Costa, MD is a medicare enrolled "Family Medicine" in South Miami, Florida. Her current practice location is
7000 Sw 62nd Ave Ste 401, South Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(308) 529-8704.
Mrs Lety Elizabeth Costa is licensed to practice in Florida (license number ME158393) 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 1821188269.
Provider's Profile
Full Name | Mrs Lety Elizabeth Costa |
---|
Gender | Female |
---|
Speciality | Family Medicine |
---|
Location | 7000 Sw 62nd Ave Ste 401, South Miami, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821188269
- Provider Enumeration Date: 10/14/2006
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042361180
- Enrollment ID: I20230803003093
Medical Identifiers
Medical identifiers for Mrs Lety Elizabeth Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821188269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA17517 (California) | Secondary |
363A00000X | Physician Assistant | 680 (Nebraska) | Secondary |
363LF0000X | Nurse Practitioner - Family | 110879 (Nebraska) | Secondary |
207Q00000X | Family Medicine | ME158393 (Florida) | 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. Mrs Lety Elizabeth Costa allows following entities to bill medicare on her behalf.
Entity Name | Golden Valley Health Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
---|
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 Lety Elizabeth 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 |
Mrs Lety Elizabeth Costa, MD 749 Eggleston Ave, Dos Palos, CA 93620-9564 Ph: (208) 282-0196 | Mrs Lety Elizabeth Costa, MD 7000 Sw 62nd Ave Ste 401, South Miami, FL 33143-4721 Ph: (308) 529-8704 |
Reviews and Comments