Dr Jesse Lee Costales, MD - Medicare Psychiatry & Neurology in Phoenix, AZ

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Dr Jesse Lee Costales, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Phoenix, Arizona. His current practice location is 3009 W Mcrae Way, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 353-2340.

Dr Jesse Lee Costales is licensed to practice in Arizona (license number 58656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619266897.

Contact Information

Dr Jesse Lee Costales, MD
3009 W Mcrae Way,
Phoenix, AZ 85027-4915
(602) 353-2340
Not Available

Map and Direction




Physician's Profile

Full NameDr Jesse Lee Costales
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3009 W Mcrae Way, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619266897
  • Provider Enumeration Date: 03/28/2011
  • Last Update Date: 05/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335469261
  • Enrollment ID: I20200117000009

Medical Identifiers

Medical identifiers for Dr Jesse Lee Costales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619266897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 58656 (Arizona)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 Jesse Lee Costales allows following entities to bill medicare on his behalf.
Entity NameLifewell Behavioral Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417050337
PECOS PAC ID: 4981641818
Enrollment ID: O20050412001535
Entity NameConnectionsaz Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083840953
PECOS PAC ID: 3072858745
Enrollment ID: O20181227002230
Entity NameEhab Yacoub Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20210820002221

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 Jesse Lee Costales 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
Dr Jesse Lee Costales, MD
3009 W Mcrae Way,
Phoenix, AZ 85027-4915

Ph: (909) 772-2963		Dr Jesse Lee Costales, MD
3009 W Mcrae Way,
Phoenix, AZ 85027-4915

Ph: (602) 353-2340

Reviews and Comments


Psychiatry & Neurology Doctors in Phoenix, AZ

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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.