Ms Diane Marie Young, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in North Haven, Connecticut. Her current practice location is
352 State St, North Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 781-4600.
Ms Diane Marie Young is licensed to practice in Connecticut (license number 005227) 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 1194935940.
Healthcare Provider's Profile
| Full Name | Ms Diane Marie Young |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 352 State St, North Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194935940
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 01/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941585814
- Enrollment ID: I20170316001808
Medical Identifiers
Medical identifiers for Ms Diane Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194935940 | NPI | - | NPPES |
| 300000542CT01 | Other | CT | ANTHEM BCBS |
| 022672 | Other | CT | VMC AFFILIATE |
| 500000315 | Medicaid | CT | |
| 140005227CT01 | Other | CT | ANTHEM BCBS |
| 303733 | Other | CT | MHN |
| 004082286 | Medicaid | CT | |
| 008022626 | Medicaid | CT | |
| 476270000 | Other | CT | MAGELLAN |
| 513954 | Other | CT | VALUE OPTIONS |
| 7944589 | Other | CT | AETNA |
| 004235083 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000542 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 005227 (Connecticut) | 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 Marie Young allows following entities to bill medicare on her behalf.
| Entity Name | Apt Foundation, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801950951
PECOS PAC ID: 8729250204
Enrollment ID: O20111005000111 |
|---|
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 Marie Young 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 Marie Young, LCSW, LADC
100 Greenhill Ter,
New Haven, CT 06515-1513
Ph: (203) 288-3344 | Ms Diane Marie Young, LCSW, LADC
352 State St,
North Haven, CT 06473-3108
Ph: (203) 781-4600 |
Reviews and Comments