Stephani Diagne, in Kenosha, WI - Medicare Social Worker Provider

Stephani Diagne, is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 12225 71st St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-4870.

Stephani Diagne is licensed to practice in Wisconsin (license number 8777-123) 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 1023746179.

Contact Information

	Stephani Diagne,
	12225 71st St, Kenosha, WI 53142-7320
	(262) 948-4870
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephani Diagne
Gender	Female
Speciality	Social Worker - Clinical
Location	12225 71st St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023746179
Provider Enumeration Date: 08/08/2022
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8022468396
Enrollment ID: I20231228002267

Medical Identifiers

Medical identifiers for Stephani Diagne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023746179	NPI	-	NPPES
100211189	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8777-123 (Wisconsin)	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. Stephani Diagne allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Stephani Diagne 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
Stephani Diagne, 12225 71st St, Kenosha, WI 53142-7320 Ph: () -	Stephani Diagne, 12225 71st St, Kenosha, WI 53142-7320 Ph: (262) 948-4870

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531

Stephani Diagne, - Medicare Clinical Social Worker in Kenosha, WI