Autumn Marie Diller, LAC is a medicare enrolled "Social Worker" provider in St. Ignatius, Montana. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice St Johns Lutheran Hospital Inc and her current practice location is
1 Woodcocks Way, St. Ignatius, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 745-3525.
Autumn Marie Diller is licensed to practice in Idaho (license number LSW41996) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134695091.
Healthcare Provider's Profile
| Full Name | Autumn Marie Diller |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 7 Years |
|---|
| Location | 1 Woodcocks Way, St. Ignatius, Montana |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Autumn Marie Diller graduated from medical school in 2019
NPI Data:
- NPI Number: 1134695091
- Provider Enumeration Date: 10/18/2018
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476940313
- Enrollment ID: I20251204003082
Medical Identifiers
Medical identifiers for Autumn Marie Diller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134695091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-32707 (Montana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 32707 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-41996 (Idaho) | Secondary |
| 104100000X | Social Worker | LSW41996 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Johns Lutheran Hospital Inc | 1557255676 | 35 |
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. Autumn Marie Diller 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 |
|---|
Autumn Marie Diller, LAC
P.o. Box 880,
St. Ignatius, MT 59865
Ph: (406) 745-3525 | Autumn Marie Diller, LAC
1 Woodcocks Way,
St. Ignatius, MT 59865
Ph: (406) 745-3525 |
Reviews and Comments