Diane Pukajlo, LCSW in Colorado Springs, CO - Medicare Clinical Social Worker Provider

Diane Pukajlo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. She graduated from healthcare school in 1999 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 3237 W Carefree Cir, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 271-2496.

Diane Pukajlo is licensed to practice in Colorado (license number 09925846) 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 1982729927.

Contact Information

	Diane Pukajlo, LCSW
	3237 W Carefree Cir, Colorado Springs, CO 80917-3004
	(719) 271-2496
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Pukajlo
Gender	Female
Speciality	Clinical Social Worker
Experience	26 Years
Location	3237 W Carefree Cir, Colorado Springs, Colorado
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:

Diane Pukajlo graduated from medical school in 1999

NPI Data:

NPI Number: 1982729927
Provider Enumeration Date: 03/20/2007
Last Update Date: 03/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7315345204
Enrollment ID: I20211006003595

Medical Identifiers

Medical identifiers for Diane Pukajlo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982729927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	09925846 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

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. Diane Pukajlo allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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. Diane Pukajlo 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
Diane Pukajlo, LCSW 16825 Guadalupe Ct, Peyton, CO 80831-9452 Ph: (719) 482-6608	Diane Pukajlo, LCSW 3237 W Carefree Cir, Colorado Springs, CO 80917-3004 Ph: (719) 271-2496

Diane Pukajlo, LCSW - Medicare Counselor in Colorado Springs, CO