Mrs Vida Lynne Penn-leon, LCSW-C in Hagerstown, MD - Medicare Social Worker Provider

Mrs Vida Lynne Penn-leon, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Hagerstown, Maryland. Her current practice location is 1401 Haven Rd Apt B12, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (888) 458-5199.

Mrs Vida Lynne Penn-leon is licensed to practice in Maryland (license number 10379) 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 1225150980.

Contact Information

	Mrs Vida Lynne Penn-leon, LCSW-C
	1401 Haven Rd Apt B12, Hagerstown, MD 21742-3097
	(888) 458-5199
	(240) 337-8598

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Vida Lynne Penn-leon
Gender	Female
Speciality	Social Worker - Clinical
Location	1401 Haven Rd Apt B12, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225150980
Provider Enumeration Date: 04/04/2007
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 6608243639
Enrollment ID: I20221104000873

Medical Identifiers

Medical identifiers for Mrs Vida Lynne Penn-leon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225150980	NPI	-	NPPES
SWB-2024-0703	Other	NM	LCSW-STATE LICENSE NM
0904015550	Other	VA	LICENSED CLINICAL SOCIAL WORKER
115112	Other	TX	LCSW - TEXAS
10379	Other	MD	LCSW-C

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904015550 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	10379 (Maryland)	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. Mrs Vida Lynne Penn-leon allows following entities to bill medicare on her behalf.

Entity Name	Pivots Potential
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659097525 PECOS PAC ID: 5799152724 Enrollment ID: O20221104000649

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. Mrs Vida Lynne Penn-leon 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
Mrs Vida Lynne Penn-leon, LCSW-C 1401 Haven Rd Apt B12, Hagerstown, MD 21742-3097 Ph: (240) 457-9505	Mrs Vida Lynne Penn-leon, LCSW-C 1401 Haven Rd Apt B12, Hagerstown, MD 21742-3097 Ph: (888) 458-5199

Reviews and Comments

Social Worker in Hagerstown, MD

Annette Jeffers, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Virginia Ave, Hagerstown, MD 21740 Phone: 301-733-3130
Victoria Leizer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq # 428, Hagerstown, MD 21740 Phone: 301-514-3960
Vicki S Churchey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0330 Fax: 301-733-4038
Ms. Patti Kay Cooper, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702
Tammy Sherrard, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071
Mr. Edward John Soffe, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 S Prospect St, Hagerstown, MD 21740 Phone: 301-573-2800
Desirae Mehaffie, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071

Mrs Vida Lynne Penn-leon, LCSW-C - Medicare Clinical Social Worker in Hagerstown, MD