Ms Susan Divito, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Hicksville, New York. Her current practice location is
950 S Oyster Bay Rd, Hicksville, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 348-0285.
Ms Susan Divito is licensed to practice in New York (license number 73070149) 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 1396804811.
Healthcare Provider's Profile
Full Name | Ms Susan Divito |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 950 S Oyster Bay Rd, Hicksville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396804811
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1759451099
- Enrollment ID: I20080529000555
Medical Identifiers
Medical identifiers for Ms Susan Divito such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396804811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12216 (New York) | Primary |
1041C0700X | Social Worker - Clinical | 73070149 (New York) | 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 Susan Divito allows following entities to bill medicare on her behalf.
Entity Name | Central Nassau Guidance & Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114928462 PECOS PAC ID: 6406747401 Enrollment ID: O20040322000050 |
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Entity Name | Long Island Elder Care Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295763852 PECOS PAC ID: 8224038286 Enrollment ID: O20061222000230 |
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Entity Name | Sunrise Counseling Center,ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407871353 PECOS PAC ID: 8224210232 Enrollment ID: O20110312000122 |
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Entity Name | Charles Evans Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
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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. Ms Susan Divito 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 Susan Divito, LCSW, CASAC 3 Brewster Gate, North Massapequa, NY 11758-1765 Ph: (516) 520-9124 | Ms Susan Divito, LCSW, CASAC 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 Ph: (516) 348-0285 |
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