Donnelle Super, MSW is a medicare enrolled "Counselor" provider in Girard, Pennsylvania. Her current practice location is
5971 Teller Rd, Girard, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 881-5299.
Donnelle Super is licensed to practice in * (Not Available) (license number ) 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 1508231283.
Healthcare Provider's Profile
| Full Name | Donnelle Super |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 5971 Teller Rd, Girard, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1508231283
- Provider Enumeration Date: 12/07/2015
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860840063
- Enrollment ID: I20240314000207
Medical Identifiers
Medical identifiers for Donnelle Super such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508231283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SW138765 (Pennsylvania) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | 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. Donnelle Super allows following entities to bill medicare on her behalf.
| Entity Name | Donnelle Super Counseling, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770347577
PECOS PAC ID: 0042656936
Enrollment ID: O20240314000232 |
|---|
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. Donnelle Super 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 |
|---|
Donnelle Super, MSW
5971 Teller Rd,
Girard, PA 16417-9112
Ph: (814) 881-5299 | Donnelle Super, MSW
5971 Teller Rd,
Girard, PA 16417-9112
Ph: (814) 881-5299 |
Reviews and Comments