Diana Anderson, LPC in New Haven, CT - Medicare Counselor Provider

Diana Anderson, LPC is a medicare enrolled "Counselor - Professional" provider in New Haven, Connecticut. Her current practice location is 495 Congress Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (032) 285-2678.

Diana Anderson is licensed to practice in Connecticut (license number 3457) 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 1124380514.

Contact Information

	Diana Anderson, LPC
	495 Congress Ave, New Haven, CT 06519
	(032) 285-2678
	(203) 781-4654

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Anderson
Gender	Female
Speciality	Counselor - Professional
Location	495 Congress 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: 1124380514
Provider Enumeration Date: 06/12/2012
Last Update Date: 07/27/2018

Medicare PECOS Information:

PECOS PAC ID: 0345788709
Enrollment ID: I20240815003619

Medical Identifiers

Medical identifiers for Diana Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124380514	NPI	-	NPPES
004082260	Medicaid	CT
008022622	Medicaid	CT
008001325	Medicaid	CT
008080804	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3457 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	3457 (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. Diana Anderson allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054

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. Diana Anderson 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
Diana Anderson, LPC 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600	Diana Anderson, LPC 495 Congress Ave, New Haven, CT 06519 Ph: (032) 285-2678

Reviews and Comments

Counselor in New Haven, CT

Mrs. Agustina Fougere, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 374 Grand Ave, New Haven, CT 06513 Phone: 203-777-7411
Rachel B Kopanski, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3250 Fax: 203-503-3254
Joann Rotar, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Whalley Ave, New Haven, CT 06515 Phone: 203-491-1652
Mr. Mark C Vanacore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 State St, New Haven, CT 06511 Phone: 203-776-9900 Fax: 203-387-8522
Dr. Rita W. Mccleary, PSY.D. Counselor Medicare: Medicare Enrolled Practice Location: 258 Bradley St, New Haven, CT 06510 Phone: 203-777-4045
Mr. Pedro Delgado, BS. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Lexington Ave, 2nd Floor, New Haven, CT 06513 Phone: 203-464-6913
Cluny Gombar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3055 Fax: 203-503-3066

Diana Anderson, LPC - Medicare Counselor in New Haven, CT