Phetsamon Dilullo, in Windsor, CT - Medicare Social Worker Provider

Phetsamon Dilullo, is a medicare enrolled "Social Worker - Clinical" provider in Windsor, Connecticut. Her current practice location is 32 Maple Ave, Windsor, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 973-9171.

Phetsamon Dilullo is licensed to practice in Connecticut (license number 010163) 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 1982168688.

Contact Information

	Phetsamon Dilullo,
	32 Maple Ave, Windsor, CT 06095-2922
	(860) 973-9171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Phetsamon Dilullo
Gender	Female
Speciality	Social Worker - Clinical
Location	32 Maple Ave, Windsor, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982168688
Provider Enumeration Date: 01/27/2019
Last Update Date: 04/12/2019

Medicare PECOS Information:

PECOS PAC ID: 8022458348
Enrollment ID: I20240502002822

Medical Identifiers

Medical identifiers for Phetsamon Dilullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982168688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	010163 (Connecticut)	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. Phetsamon Dilullo allows following entities to bill medicare on her behalf.

Entity Name	Community Health Resources, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155

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. Phetsamon Dilullo 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
Phetsamon Dilullo, 32 Maple Ave, Windsor, CT 06095-2922 Ph: (860) 973-9171	Phetsamon Dilullo, 32 Maple Ave, Windsor, CT 06095-2922 Ph: (860) 973-9171

Reviews and Comments

Social Worker in Windsor, CT

Ms. Cheryl Ann Dean, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536
Amy Joy Parent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 North Cir, Windsor, CT 06095 Phone: 860-480-3884
Mrs. Jennine M. Gialopsos, LCSW, LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 32 Maple Ave, Windsor, CT 06095 Phone: 860-683-2455 Fax: 860-688-0004
Angelica Gill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Bloomfield Ave Fl 1, Windsor, CT 06095 Phone: 860-386-8024 Fax: 860-909-0032
Joseph Hobbs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5534
Patricia Langevin James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32 Maple Ave, Windsor, CT 06095 Phone: 860-722-3217 Fax: 860-688-0004
Luis Mendez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 175 Addison Rd Ste 104, Windsor, CT 06095 Phone: 860-513-2327

Phetsamon Dilullo, - Medicare Clinical Social Worker in Windsor, CT