Jillian L Griffin, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Wallingford, Connecticut. Her current practice location is
300 Church St Ste 204, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 314-0940.
Jillian L Griffin is licensed to practice in Connecticut (license number 9781) 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 1649790411.
Healthcare Provider's Profile
Full Name | Jillian L Griffin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 Church St Ste 204, Wallingford, Connecticut |
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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: 1649790411
- Provider Enumeration Date: 06/22/2017
- Last Update Date: 04/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133535339
- Enrollment ID: I20210315000254
Medical Identifiers
Medical identifiers for Jillian L Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649790411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1172 (Connecticut) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 9781 (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. Jillian L Griffin allows following entities to bill medicare on her behalf.
Entity Name | Yale New Haven Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336139500 PECOS PAC ID: 8325935018 Enrollment ID: O20040227000825 |
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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. Jillian L Griffin 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 |
Jillian L Griffin, LCSW, LADC 300 Church St Ste 204, Wallingford, CT 06492-2253 Ph: (203) 314-0940 | Jillian L Griffin, LCSW, LADC 300 Church St Ste 204, Wallingford, CT 06492-2253 Ph: (203) 314-0940 |
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