Dr Mariela M Costello, PSYD in Los Altos, CA - Medicare Psychologist Provider

Dr Mariela M Costello, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Altos, California. Her current practice location is 919 Fremont Ave, Suite 202, Los Altos, California. You can reach out to her office (for appointments etc.) via phone at (408) 220-3268.

Dr Mariela M Costello is licensed to practice in California (license number PSY23277) 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 1801145727.

Contact Information

	Dr Mariela M Costello, PSYD
	919 Fremont Ave, Suite 202, Los Altos, CA 95020
	(408) 220-3268
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mariela M Costello
Gender	Female
Speciality	Psychologist - Clinical
Location	919 Fremont Ave, Los Altos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801145727
Provider Enumeration Date: 09/06/2012
Last Update Date: 10/02/2018

Medicare PECOS Information:

PECOS PAC ID: 8628322559
Enrollment ID: I20181113001788

Medical Identifiers

Medical identifiers for Dr Mariela M Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801145727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY23277 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY23277 (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. Dr Mariela M Costello allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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 Mariela M 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
Dr Mariela M Costello, PSYD 919 Fremont Ave, Suite 202, Los Altos, CA 95020 Ph: (408) 220-3268	Dr Mariela M Costello, PSYD 919 Fremont Ave, Suite 202, Los Altos, CA 95020 Ph: (408) 220-3268

Reviews and Comments

Psychologist in Los Altos, CA

Dr. Leslie Fried Behar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4966 El Camino Real, Suite 115, Los Altos, CA 94022 Phone: 650-947-9717
Dr. Sharon Churnin Nash, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 N San Antonio Rd, Ste 209, Los Altos, CA 94022 Phone: 650-949-1615
Mara Lenox Bronstein, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 881 Fremont Ave, Suite B8, Los Altos, CA 94024 Phone: 650-231-4835
Dr. Elizabeth Zed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Fremont Ave, Suite 270, Los Altos, CA 94024 Phone: 650-948-2528
Dr. Melissa Tamas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Fremont Ave Ste 145, Los Altos, CA 94024 Phone: 084-806-8302
Robert Christopher Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 329 S San Antonio Rd, Suite 9, Los Altos, CA 94022 Phone: 650-949-1189
Henry S. Mellen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 851 Fremont Ave, Suite 107, Los Altos, CA 94024 Phone: 650-989-1256 Fax: 650-329-1579

Dr Mariela M Costello, PSYD - Medicare Psychologist in Los Altos, CA