Mrs Lety Elizabeth Costa, MD - Medicare Internal Medicine in Dos Palos, CA

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Mrs Lety Elizabeth Costa, MD is a medicare enrolled "Internal Medicine" physician in Dos Palos, California. Her current practice location is 1405 California Ave, Dos Palos, California. You can reach out to her office (for appointments etc.) via phone at (209) 722-4842.

Mrs Lety Elizabeth Costa is licensed to practice in California (license number A187054) 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 1821188269.

Contact Information

Mrs Lety Elizabeth Costa, MD
1405 California Ave,
Dos Palos, CA 93620-2300
(209) 722-4842
Not Available

Map and Direction




Physician's Profile

Full NameMrs Lety Elizabeth Costa
GenderFemale
SpecialityInternal Medicine
Location1405 California Ave, Dos Palos, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821188269
  • Provider Enumeration Date: 10/14/2006
  • Last Update Date: 08/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042361180
  • Enrollment ID: I20230803003093

Medical Identifiers

Medical identifiers for Mrs Lety Elizabeth Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821188269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME158393 (Florida)Secondary
363A00000XPhysician Assistant PA17517 (California)Secondary
363A00000XPhysician Assistant 680 (Nebraska)Secondary
363LF0000XNurse Practitioner - Family 110879 (Nebraska)Secondary
207R00000XInternal Medicine A187054 (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. Mrs Lety Elizabeth Costa allows following entities to bill medicare on her behalf.
Entity NameGolden Valley Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356445753
PECOS PAC ID: 4183527187
Enrollment ID: O20040128000641

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. Mrs Lety Elizabeth 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
Mrs Lety Elizabeth Costa, MD
749 Eggleston Ave,
Dos Palos, CA 93620-9564

Ph: (208) 282-0196		Mrs Lety Elizabeth Costa, MD
1405 California Ave,
Dos Palos, CA 93620-2300

Ph: (209) 722-4842

Reviews and Comments


Internal Medicine Doctors in Dos Palos, CA


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.