DONNA ELIZABETH MEDINA LADC
NPI 1275007353
Counselor - Addiction (Substance Use Disorder) in New London, CT
About Donna Elizabeth Medina Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA ELIZABETH MEDINA LADC (NPI 1275007353) is an individual addiction (substance use disorder) provider in New London, Connecticut, licensed in Connecticut (001224) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Donna Elizabeth Medina Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Donna Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW LONDON, CT 06320
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Donna Medina's NPI number?
The NPI number for Donna Medina is 1275007353. It was assigned to this individual provider in the NPPES registry on January 11, 2019.
Where is Donna Medina located?
Donna Medina practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.
What is Donna Medina's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Donna Medina enrolled in Medicare?
Yes. Donna Medina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Donna Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Medina reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Donna Medina was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Donna Elizabeth Medina, LADC · NPI 1275007353
Addiction (Substance Use Disorder) provider in New London, Connecticut. Individual provider, active in the CMS NPPES registry since January 11, 2019.
## Identity
- **NPI:** 1275007353 (Entity type: Individual)
- **Enumerated:** January 11, 2019
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 001224 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4700
- **Phone:** (860) 442-0711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1275007353) · Data from the CMS NPPES public registry.