David Horn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Haven, Connecticut. His current practice location is
109 Legion Ave, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 562-2264.
David Horn is licensed to practice in Connecticut (license number 010639) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780135012.
Healthcare Provider's Profile
| Full Name | David Horn |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 109 Legion Ave, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1780135012
- Provider Enumeration Date: 10/21/2016
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709200686
- Enrollment ID: I20200724001112
Medical Identifiers
Medical identifiers for David Horn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780135012 | NPI | - | NPPES |
| 000393 | Other | CT | CTDPH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 000393 (Connecticut) | Secondary |
| 104100000X | Social Worker | 010639 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 010639 (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. David Horn allows following entities to bill medicare on his behalf.
| Entity Name | State Of Connecticut |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427074426
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000365 |
|---|
| Entity Name | State Of Connecticut |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720013360
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000785 |
|---|
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. David Horn 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 |
|---|
David Horn, LCSW
660 Winchester Ave,
New Haven, CT 06511-1969
Ph: (203) 776-8390 | David Horn, LCSW
109 Legion Ave,
New Haven, CT 06519-5506
Ph: (203) 562-2264 |
Reviews and Comments