Diane M Moga-roach, MSE, LCSW, LPC, CEAP is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. She graduated from healthcare school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2733 S Ridge Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 497-6200.
Diane M Moga-roach is licensed to practice in Wisconsin (license number 3562-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700923471.
Healthcare Provider's Profile
| Full Name | Diane M Moga-roach |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 2733 S Ridge Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane M Moga-roach graduated from medical school in 1995
NPI Data:
- NPI Number: 1700923471
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3476634379
- Enrollment ID: I20210105002542
Medical Identifiers
Medical identifiers for Diane M Moga-roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700923471 | NPI | - | NPPES |
| 39742500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 1849-125 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 3562-123 (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. Diane M Moga-roach allows following entities to bill medicare on her behalf.
| Entity Name | New Wellness Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275650673
PECOS PAC ID: 7113008012
Enrollment ID: O20080117000019 |
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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. Diane M Moga-roach 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 |
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Diane M Moga-roach, MSE, LCSW, LPC, CEAP
W5488 Quarry Rd,
Appleton, WI 54913-9790
Ph: (920) 739-2212 | Diane M Moga-roach, MSE, LCSW, LPC, CEAP
2733 S Ridge Rd,
Green Bay, WI 54304-5513
Ph: (920) 497-6200 |
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