Mrs Diane L Nies, LCSW LCADC is a medicare enrolled "Social Worker - Clinical" provider in Sparta, New Jersey. Her current practice location is
70 Sparta Ave, Ste 104, Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 728-3938.
Mrs Diane L Nies is licensed to practice in New Jersey (license number 44SC05242300) 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 1063559359.
Healthcare Provider's Profile
| Full Name | Mrs Diane L Nies |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 70 Sparta Ave, Sparta, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063559359
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810950730
- Enrollment ID: I20041110001089
Medical Identifiers
Medical identifiers for Mrs Diane L Nies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063559359 | NPI | - | NPPES |
| 468737000 | Other | | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00109100 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05242300 (New Jersey) | 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. Mrs Diane L Nies allows following entities to bill medicare on her behalf.
| Entity Name | Newbridge Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982768420
PECOS PAC ID: 3072598978
Enrollment ID: O20040623001352 |
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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. Mrs Diane L Nies 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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Mrs Diane L Nies, LCSW LCADC
7 Industrial Rd,
Pequannock, NJ 07440-1901
Ph: (973) 686-2227 | Mrs Diane L Nies, LCSW LCADC
70 Sparta Ave, Ste 104,
Sparta, NJ 07871-1760
Ph: (973) 728-3938 |
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