Dr Yara R Costa, PSYD, MS in Deerfield, IL - Medicare Psychologist Provider

Dr Yara R Costa, PSYD, MS is a medicare enrolled "Psychologist - Clinical" provider in Deerfield, Illinois. Her current practice location is 420 Lake Cook Rd, Deerfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 343-5554.

Dr Yara R Costa is licensed to practice in Illinois (license number 071009332) 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 1689871923.

Contact Information

	Dr Yara R Costa, PSYD, MS
	420 Lake Cook Rd, Deerfield, IL 60015-5646
	(847) 343-5554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Yara R Costa
Gender	Female
Speciality	Psychologist - Clinical
Location	420 Lake Cook Rd, Deerfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689871923
Provider Enumeration Date: 06/29/2007
Last Update Date: 03/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0749561017
Enrollment ID: I20161228000448

Medical Identifiers

Medical identifiers for Dr Yara R Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689871923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0200X	Psychologist - Forensic	071009332 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071009332 (Illinois)	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. Dr Yara R Costa allows following entities to bill medicare on her behalf.

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

Entity Name	Clarity Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469

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. Dr Yara R 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
Dr Yara R Costa, PSYD, MS 1500 South Fairfield Office #nr-260, Chicago, IL 60608-1782 Ph: (847) 343-5554	Dr Yara R Costa, PSYD, MS 420 Lake Cook Rd, Deerfield, IL 60015-5646 Ph: (847) 343-5554

Reviews and Comments

Psychologist in Deerfield, IL

Ramzia Duszynski, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 745 Jonquil Ter, Deerfield, IL 60015 Phone: 847-317-9009
Dr. Adam A Levin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 Lake Cook Rd Ste 250, Deerfield, IL 60015 Phone: 847-267-0001
Mary E Halpin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 420 Lake Cook Rd, Suite 109, Deerfield, IL 60015 Phone: 847-317-1133
Dr. Ashley K Whittington-barnish, LCP, BCBA-D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1374 Meadow Ln, Deerfield, IL 60015 Phone: 847-340-0872
Melanie Joy Nadell, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 49 S Waukegan Rd, Deerfield, IL 60015 Phone: 847-425-6400
Dr. Marc I Oster, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 707 Lake Cook Rd Ste 120, Deerfield, IL 60015 Phone: 847-604-1593 Fax: 847-579-1055
Dr. Michelle A. Epstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 155 N Pfingsten Rd Ste 350, Deerfield, IL 60015 Phone: 847-702-8777

Dr Yara R Costa, PSYD, MS - Medicare Psychologist in Deerfield, IL