Diane L D'agostino, LCSW in Burlington, NJ - Medicare Social Worker Provider

Diane L D'agostino, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Burlington, New Jersey. Her current practice location is 651 High St, Burlington, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 386-0775.

Diane L D'agostino is licensed to practice in New Jersey (license number 44SC05599200) 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 1265095913.

Contact Information

	Diane L D'agostino, LCSW
	651 High St, Burlington, NJ 08016-2737
	(609) 386-0775
	(609) 386-4372

Map and Direction

Healthcare Provider's Profile

Full Name	Diane L D'agostino
Gender	Female
Speciality	Social Worker - Clinical
Location	651 High St, Burlington, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265095913
Provider Enumeration Date: 04/18/2019
Last Update Date: 12/11/2019

Medicare PECOS Information:

PECOS PAC ID: 6406189117
Enrollment ID: I20190612002102

Medical Identifiers

Medical identifiers for Diane L D'agostino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265095913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05599200 (New Jersey)	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. Diane L D'agostino allows following entities to bill medicare on her behalf.

Entity Name	Southern Jersey Family Medical Centers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

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. Diane L D'agostino 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
Diane L D'agostino, LCSW 1 N White Horse Pike, Hammonton, NJ 08037-1875 Ph: (609) 567-0200	Diane L D'agostino, LCSW 651 High St, Burlington, NJ 08016-2737 Ph: (609) 386-0775

Reviews and Comments

Social Worker in Burlington, NJ

Mrs. Stephanie Ann Crane, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Woodstone Ln, Burlington, NJ 08016 Phone: 609-326-3950
Ms. Ebone Reliford, LCSW, LCADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Hulme St, Burlington, NJ 08016 Phone: 973-280-5355
Susan Geisz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487
Ms. Mary Anne Birmingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487
Sean Mcnally, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 850 Moorland Ave, Burlington, NJ 08016 Phone: 856-278-1788
Ella Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487

Diane L D'agostino, LCSW - Medicare Clinical Social Worker in Burlington, NJ