Angela Denise Diallo, MA LLPC in Detroit, MI - Medicare Counselor Provider

Angela Denise Diallo, MA LLPC is a medicare enrolled "Counselor - Mental Health" provider in Detroit, Michigan. Her current practice location is 2939 Russell St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 396-5300.

Angela Denise Diallo is licensed to practice in Michigan (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 1578962098.

Contact Information

	Angela Denise Diallo, MA LLPC
	2939 Russell St, Detroit, MI 48207-4825
	(313) 396-5300
	(313) 274-4900

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Denise Diallo
Gender	Female
Speciality	Counselor - Mental Health
Location	2939 Russell St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578962098
Provider Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID: 1759731466
Enrollment ID: I20231221000353

Medical Identifiers

Medical identifiers for Angela Denise Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578962098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(Michigan)	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. Angela Denise Diallo allows following entities to bill medicare on her behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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. Angela Denise Diallo 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
Angela Denise Diallo, MA LLPC 931 Williamsbury Apt 135, Waterford, MI 48328-2265 Ph: (586) 339-4058	Angela Denise Diallo, MA LLPC 2939 Russell St, Detroit, MI 48207-4825 Ph: (313) 396-5300

Reviews and Comments

Counselor in Detroit, MI

Anthony Jerome Allen, AAS., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12010 Linwood St, Detroit, MI 48206 Phone: 313-867-1090 Fax: 313-867-0706
Mr. Brian R Cogliati, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1852 W Grand Blvd, 1852 W. Grand Blvd, Detroit, MI 48208 Phone: 313-894-8444 Fax: 313-894-5542
Mr. Gregory Charles Guice, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Taylor Ave., Detroit, MI 48202 Phone: 313-874-8715
Ms. Carol Potter, MA, BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Hunt St, Detroit, MI 48207 Phone: 248-537-2516
Mrs. Lisa Polk-woolfolk, MS, LLPC, CAC-M Counselor Medicare: Not Enrolled in Medicare Practice Location: 3731 Rivard St, Detroit, MI 48207 Phone: 313-258-9713
Alicia Monique Lurry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8171 Parkland, Detroit, MI 48239 Phone: 313-282-7567
Mr. Darren Kilgore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Walker St, 538, Detroit, MI 48207 Phone: 313-610-0134

Angela Denise Diallo, MA LLPC - Medicare Counselor in Detroit, MI