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

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 NameMagen Ashley Costilla
GenderFemale
SpecialityNurse Practitioner
Location26600 Cactus Ave Ste 300, Moreno Valley, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1023756194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse 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 NameCounty Of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.