Lorelle Destefano, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saltville, Virginia. She graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Refresh Canopy Cove, Inc and her current practice location is
319 5th Ave, Saltville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 496-4492.
Lorelle Destefano is licensed to practice in Virginia (license number 0904009238) 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 1194185165.
Healthcare Provider's Profile
| Full Name | Lorelle Destefano |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 8 Years |
|---|
| Location | 319 5th Ave, Saltville, Virginia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Lorelle Destefano graduated from medical school in 2016
NPI Data:
- NPI Number: 1194185165
- Provider Enumeration Date: 03/03/2016
- Last Update Date: 03/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 0749574978
- Enrollment ID: I20191218000142
Medical Identifiers
Medical identifiers for Lorelle Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194185165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 0904009238 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904009238 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Refresh Canopy Cove, Inc | 3779822119 | 97 |
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. Lorelle Destefano allows following entities to bill medicare on her behalf.
| Entity Name | Refresh Canopy Cove, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730661752
PECOS PAC ID: 3779822119
Enrollment ID: O20190304000354 |
|---|
| Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033984448
PECOS PAC ID: 5092120030
Enrollment ID: O20240401000110 |
|---|
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. Lorelle Destefano 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 |
|---|
Lorelle Destefano, LCSW
Po Box 729,
Saltville, VA 24370-0729
Ph: (276) 496-4492 | Lorelle Destefano, LCSW
319 5th Ave,
Saltville, VA 24370-3418
Ph: (276) 496-4492 |
Reviews and Comments