Ms Simone A Longoria, LPC in East Lyme, CT - Medicare Counselor Provider

Ms Simone A Longoria, LPC is a medicare enrolled "Counselor - Mental Health" provider in East Lyme, Connecticut. Her current practice location is 310 Flanders Rd # 461, East Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 500-5029.

Ms Simone A Longoria is licensed to practice in Connecticut (license number 006840) 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 1437801602.

Contact Information

	Ms Simone A Longoria, LPC
	310 Flanders Rd # 461, East Lyme, CT 06333-1758
	(860) 500-5029
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Simone A Longoria
Gender	Female
Speciality	Counselor - Mental Health
Location	310 Flanders Rd # 461, East Lyme, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437801602
Provider Enumeration Date: 01/19/2022
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8921549759
Enrollment ID: I20240920000906

Medical Identifiers

Medical identifiers for Ms Simone A Longoria such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437801602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	006840 (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 Simone A Longoria allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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 Simone A Longoria 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 Simone A Longoria, LPC 39 1/2 Wedgewood Dr Unit 5029, Jewett City, CT 06351-2439 Ph: (860) 800-5029	Ms Simone A Longoria, LPC 310 Flanders Rd # 461, East Lyme, CT 06333-1758 Ph: (860) 500-5029

Reviews and Comments

Counselor in East Lyme, CT

Caitlin Blackburn, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Flanders Rd Ste 2d, East Lyme, CT 06333 Phone: 860-629-0029
Mr. James J. Archambeault, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Flanders Rd, Suite 2 B, East Lyme, CT 06333 Phone: 860-767-1277 Fax: 860-691-1546
Kayla B Gero, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 314 Flanders Rd Ste 2d, East Lyme, CT 06333 Phone: 860-629-0029
Ms. Judith A Crotty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29 Chesterfield Rd, East Lyme, CT 06333 Phone: 860-739-6974 Fax: 860-739-5290
Thomas J. Butcher, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Flanders Rd, Suite A, East Lyme, CT 06333 Phone: 860-739-8271 Fax: 860-887-7109
Regina Moller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Dean Rd, East Lyme, CT 06333 Phone: 860-691-1674

Ms Simone A Longoria, LPC - Medicare Counselor in East Lyme, CT