Mary Ann Costa, FNP - Medicare Nurse Practitioner in San Pedro, CA

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Mary Ann Costa, FNP is a medicare enrolled "Nurse Practitioner" in San Pedro, California. Her current practice location is 1300 W 7th St, San Pedro, California. You can reach out to her office (for appointments etc.) via phone at (310) 514-5350.

Mary Ann Costa is licensed to practice in California (license number NP9202) 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 1235161894.

Contact Information

Mary Ann Costa, FNP
1300 W 7th St,
San Pedro, CA 90732-3505
(310) 514-5350
(310) 514-5421

Map and Direction




Provider's Profile

Full NameMary Ann Costa
GenderFemale
SpecialityNurse Practitioner
Location1300 W 7th St, San Pedro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235161894
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 06/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3779770672
  • Enrollment ID: I20101203001028

Medical Identifiers

Medical identifiers for Mary Ann Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235161894NPI-NPPES
RN434772MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP9202 (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. Mary Ann Costa allows following entities to bill medicare on her behalf.
Entity NameStephen R Shea Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942239033
PECOS PAC ID: 7416854377
Enrollment ID: O20040422001706
Entity NameSouthern California Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518588433
PECOS PAC ID: 4688097066
Enrollment ID: O20200701001805

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. Mary Ann 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 AddressPractice Location Address
Mary Ann Costa, FNP
Po Box 661360,
Arcadia, CA 91066-1360

Ph: (626) 447-0296		Mary Ann Costa, FNP
1300 W 7th St,
San Pedro, CA 90732-3505

Ph: (310) 514-5350

Reviews and Comments


Nurse Practitioner Nurses in San Pedro, CA

Jason Swiecki, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Gaffey St, San Pedro, CA 90731
Phone: 510-847-6615    
Chinenye Deborah Udoh,
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Medicare: Not Enrolled in Medicare
Practice Location: 711 W 39th St Apt 3, San Pedro, CA 90731
Phone: 310-999-5410    
Tara Lynn Shafer, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1350 W 6th St Ste 200, San Pedro, CA 90732
Phone: 310-832-0686    
Elizabeth Servaites, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1249 W 13th St, San Pedro, CA 90731
Phone: 310-418-6010    
Lilia Isabel Stephenson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1921 W 26th St, San Pedro, CA 90732
Phone: 310-833-4661    
Susan T Barie, NP, CNM
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 920 W 5th St, San Pedro, CA 90731
Phone: 310-833-6526    
Lindsay Michelle Iraci, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 887 W 9th St, San Pedro, CA 90731
Phone: 310-547-0888    

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.