Lori Chieffallo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eynon, Pennsylvania. Her current practice location is
329 2nd St, Eynon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 335-4957.
Lori Chieffallo is licensed to practice in Pennsylvania (license number CW013632) 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 1295351492.
Healthcare Provider's Profile
Full Name | Lori Chieffallo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 329 2nd St, Eynon, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295351492
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436527280
- Enrollment ID: I20221129000428
Medical Identifiers
Medical identifiers for Lori Chieffallo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295351492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW013632 (Pennsylvania) | 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. Lori Chieffallo allows following entities to bill medicare on her behalf.
Entity Name | Ronald J. Refice Phd And Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992956213 PECOS PAC ID: 7618033192 Enrollment ID: O20090309000179 |
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Entity Name | Turning Tides Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427698521 PECOS PAC ID: 8426423005 Enrollment ID: O20230621002789 |
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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. Lori Chieffallo 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 |
Lori Chieffallo, LCSW 329 2nd St, Eynon, PA 18403-1442 Ph: (570) 335-4957 | Lori Chieffallo, LCSW 329 2nd St, Eynon, PA 18403-1442 Ph: (570) 335-4957 |
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