Ms Diane J Clonmell, LCPC in Laurel, MD - Medicare Counselor Provider

Ms Diane J Clonmell, LCPC is a medicare enrolled "Counselor - Professional" provider in Laurel, Maryland. Her current practice location is 7655 E Arbory Ct, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 338-8115.

Ms Diane J Clonmell is licensed to practice in Maryland (license number LC1496) 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 1134480130.

Contact Information

	Ms Diane J Clonmell, LCPC
	7655 E Arbory Ct, Laurel, MD 20707-5554
	(240) 338-8115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Diane J Clonmell
Gender	Female
Speciality	Counselor - Professional
Location	7655 E Arbory Ct, Laurel, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134480130
Provider Enumeration Date: 06/06/2012
Last Update Date: 06/06/2012

Medicare PECOS Information:

PECOS PAC ID: 4183061666
Enrollment ID: I20240319003756

Medical Identifiers

Medical identifiers for Ms Diane J Clonmell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134480130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC1496 (Maryland)	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. Ms Diane J Clonmell allows following entities to bill medicare on her behalf.

Entity Name	Premier Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285017822 PECOS PAC ID: 7618285842 Enrollment ID: O20151008000494

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 Diane J Clonmell 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 Diane J Clonmell, LCPC 7655 E Arbory Ct, Laurel, MD 20707-5554 Ph: (240) 338-8115	Ms Diane J Clonmell, LCPC 7655 E Arbory Ct, Laurel, MD 20707-5554 Ph: (240) 338-8115

Reviews and Comments

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Ms Diane J Clonmell, LCPC - Medicare Counselor in Laurel, MD