Libby Renae Marcolongo, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Defuniak Springs, Florida. Her current practice location is
81 St Hwy 83 N Ste A, Defuniak Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(719) 286-3338.
Libby Renae Marcolongo is licensed to practice in Florida (license number MT4412) 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 1265085096.
Healthcare Provider's Profile
Full Name | Libby Renae Marcolongo |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 81 St Hwy 83 N Ste A, Defuniak Springs, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265085096
- Provider Enumeration Date: 07/21/2019
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446695779
- Enrollment ID: I20240301001470
Medical Identifiers
Medical identifiers for Libby Renae Marcolongo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265085096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT.0001866 (Colorado) | Secondary |
106H00000X | Marriage & Family Therapist | MT4412 (Florida) | 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. Libby Renae Marcolongo allows following entities to bill medicare on her behalf.
Entity Name | Emerald Springs Family Counseling Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1992566889 PECOS PAC ID: 9537504865 Enrollment ID: O20240227001416 |
---|
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. Libby Renae Marcolongo 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 |
Libby Renae Marcolongo, LMFT 81 St Hwy 83 N Ste A, Defuniak Springs, FL 32433-7487 Ph: (719) 286-3338 | Libby Renae Marcolongo, LMFT 81 St Hwy 83 N Ste A, Defuniak Springs, FL 32433-7487 Ph: (719) 286-3338 |
Reviews and Comments