Carla C Costello, FNP in Lake Providence, LA - Medicare Nurse Practitioner

Carla C Costello, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Providence, Louisiana. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Carroll Parish Hospital and her current practice location is 320 N Hood St, Lake Providence, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 559-2404.

Carla C Costello is licensed to practice in Louisiana (license number RN095103 AP06260) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1356657746.

Contact Information

	Carla C Costello, FNP
	320 N Hood St, Lake Providence, LA 71254-2140
	(318) 559-2404
	Not Available

Map and Direction

Provider's Profile

Full Name	Carla C Costello
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	320 N Hood St, Lake Providence, Louisiana
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carla C Costello graduated from nursing school in 2010

NPI Data:

NPI Number: 1356657746
Provider Enumeration Date: 08/24/2010
Last Update Date: 10/16/2019

Medicare PECOS Information:

PECOS PAC ID: 3274725254
Enrollment ID: I20101008000534

Medical Identifiers

Medical identifiers for Carla C Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356657746	NPI	-	NPPES
2121286	Medicaid	LA
AP06260	Other	LA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN095103 AP06260 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Carroll Parish Hospital	Lake providence, LA	Hospital
St Francis Medical Center	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carroll Parish Hospital	1153216619	35

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. Carla C Costello allows following entities to bill medicare on her behalf.

Entity Name	East Carroll Parish Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563

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. Carla C Costello 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 Address	Practice Location Address
Carla C Costello, FNP 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404	Carla C Costello, FNP 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404

Reviews and Comments

Nurse Practitioner Nurses in Lake Providence, LA

Kelly Catherine Ratliff, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814
Savannah Fortenberry, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 340 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404
Stacey Hackler, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404
Ms. Brenda R. Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4900 Fax: 318-559-1772
Amy Garrett Hale, RN,FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814
Mrs. Erica Powell Watson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-231-5010 Fax: 318-231-5011

Carla C Costello, FNP - Medicare Nurse Practitioner in Lake Providence, LA