Kelly L Costa, DPT in Dix Hills, NY - Medicare Physical Therapist Provider

Kelly L Costa, DPT is a medicare enrolled "Physical Therapist" provider in Dix Hills, New York. Her current practice location is 762 Deer Park Rd, Dix Hills, New York. You can reach out to her office (for appointments etc.) via phone at (631) 254-0094.

Kelly L Costa is licensed to practice in New York (license number 037470) 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 1295156594.

Contact Information

	Kelly L Costa, DPT
	762 Deer Park Rd, Dix Hills, NY 11746-6221
	(631) 254-0094
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly L Costa
Gender	Female
Speciality	Physical Therapist
Location	762 Deer Park Rd, Dix Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295156594
Provider Enumeration Date: 01/04/2014
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1052653441
Enrollment ID: I20190506000807

Medical Identifiers

Medical identifiers for Kelly L Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295156594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P91676 (New York)	Secondary
225100000X	Physical Therapist	037470 (New York)	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. Kelly L Costa allows following entities to bill medicare on her behalf.

Provider Name	Prohealth Care Associates Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468

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. Kelly L 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
Kelly L Costa, DPT 90 Kelsey Ave, Huntington Station, NY 11746-1139 Ph: (631) 697-3827	Kelly L Costa, DPT 762 Deer Park Rd, Dix Hills, NY 11746-6221 Ph: (631) 254-0094

Reviews and Comments

Physical Therapist in Dix Hills, NY

Dr. Jaclyn A. Muller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 Deer Park Ave, Dix Hills, NY 11746 Phone: 631-549-4900
Hasan Abdalla, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Highland Ave, Dix Hills, NY 11746 Phone: 631-885-7007
Mrs. Karen Albergo-tevez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Hearthstone Dr, Dix Hills, NY 11746 Phone: 516-220-5450
Sarah L Conroy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Soulagnet Ct, Dix Hills, NY 11746 Phone: 516-659-1087 Fax: 516-900-5092
Mrs. Ilyse T. Flattau, P.T.,M.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Carriage Ct, Dix Hills, NY 11746 Phone: 631-549-0076
Mr. Keith William Tucker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Carman Rd, Dix Hills, NY 11746 Phone: 631-549-5580
Paula Mallia Lagreca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Croydon Ct, Dix Hills, NY 11746 Phone: 631-940-1889

Kelly L Costa, DPT - Medicare Physical Therapist in Dix Hills, NY