Costa Clinical Psychology, Llc - Medicare Mental Health Clinic in Brookings, OR

Costa Clinical Psychology, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Brookings, Oregon. The current practice location for Costa Clinical Psychology, Llc is 625 Spruce St., # 7666, Brookings, Oregon. For appointments, you can reach them via phone at (541) 412-0700. The mailing address for Costa Clinical Psychology, Llc is 625 Spruce St., P.o. Box 7666, Brookings, Oregon and phone number is (541) 412-0700.

Costa Clinical Psychology, Llc is licensed to practice in Oregon (license number 2356). The clinic also participates in the medicare program and its NPI number is 1881144178. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 412-0700.

Contact Information

Costa Clinical Psychology, Llc
625 Spruce St.
# 7666
Brookings
OR 97415
(541) 412-0700
(541) 412-0711

Map and Direction


Mental Health Clinic Profile

Full NameCosta Clinical Psychology, Llc
SpecialityPsychologist
Location625 Spruce St., Brookings, Oregon
Authorized Official Name and PositionTeresa Ione Costa (CLINICAL PSYCHOLOGIST)
Authorized Official Contact5414120700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Costa Clinical Psychology, Llc
625 Spruce St.
P.o. Box 7666
Brookings
OR 97415

Ph: (541) 412-0700
Costa Clinical Psychology, Llc
625 Spruce St.
# 7666
Brookings
OR 97415

Ph: (541) 412-0700

NPI Details:

NPI Number1881144178
Provider Enumeration Date10/11/2016
Last Update Date10/11/2016

Medicare PECOS Information:

Medicare PECOS PAC ID2365723186
Medicare Enrollment IDO20170109003221

Medical Identifiers

Medical identifiers for Costa Clinical Psychology, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881144178NPI-NPPES
500659667MedicaidOR
R16961OtherORMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2356 (Oregon)Primary
1041C0700XSocial Worker - Clinical L6298 (Oregon)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Costa Clinical Psychology, Llc acts as a billing entity for following providers:
Provider NameTeresa I Costa
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770894461
PECOS PAC ID: 8820237803
Enrollment ID: I20130624000472

Reviews and Comments

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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.