Ms Diana J Depugh, MSW is a medicare enrolled "Social Worker - Clinical" provider in Knoxville, Tennessee. She graduated from healthcare school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
4928 Homberg Dr, Suie 4-a, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 748-4476.
Ms Diana J Depugh is licensed to practice in Tennessee (license number LSW0000003551) 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 1619954609.
Healthcare Provider's Profile
| Full Name | Ms Diana J Depugh |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 47 Years |
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| Location | 4928 Homberg Dr, Knoxville, Tennessee |
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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:
- Ms Diana J Depugh graduated from medical school in 1977
NPI Data:
- NPI Number: 1619954609
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668478702
- Enrollment ID: I20061013000174
Medical Identifiers
Medical identifiers for Ms Diana J Depugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619954609 | NPI | - | NPPES |
| 1100250 | Other | TN | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LDC00000086 (Tennessee) | Primary |
| 1041C0700X | Social Worker - Clinical | LSW0000003551 (Tennessee) | Primary |
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. Ms Diana J Depugh 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 |
|---|
Ms Diana J Depugh, MSW
3110 Pleasant Trace Cir,
Knoxville, TN 37912-6207
Ph: (865) 748-4476 | Ms Diana J Depugh, MSW
4928 Homberg Dr, Suie 4-a,
Knoxville, TN 37919-5100
Ph: (865) 748-4476 |
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