Avellaneda Psychological Servivces Pa - Medicare Mental Health Clinic in Labelle, FL

Avellaneda Psychological Servivces Pa is a medicare enrolled mental health clinic (Psychologist) in Labelle, Florida. The current practice location for Avellaneda Psychological Servivces Pa is 270 North Bridge Street, Labelle, Florida. For appointments, you can reach them via phone at (305) 439-6014. The mailing address for Avellaneda Psychological Servivces Pa is 2100 Riviera Ave, Clewiston, Florida and phone number is (305) 439-6014.

Avellaneda Psychological Servivces Pa is licensed to practice in Florida (license number PY5919). The clinic also participates in the medicare program and its NPI number is 1215461124. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (305) 439-6014.

Contact Information

Avellaneda Psychological Servivces Pa
270 North Bridge Street
Labelle
FL 33935
(305) 439-6014
Not Available

Mental Health Clinic Profile

Full NameAvellaneda Psychological Servivces Pa
SpecialityPsychologist
Location270 North Bridge Street, Labelle, Florida
Authorized Official Name and PositionVictoria Bustamante Avellaneda (PRESIDENT)
Authorized Official Contact3054396014
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avellaneda Psychological Servivces Pa
2100 Riviera Ave
Clewiston
FL 33440-9043

Ph: (305) 439-6014
Avellaneda Psychological Servivces Pa
270 North Bridge Street
Labelle
FL 33935

Ph: (305) 439-6014

NPI Details:

NPI Number1215461124
Provider Enumeration Date04/18/2017
Last Update Date11/20/2017

Medicare PECOS Information:

Medicare PECOS PAC ID3577822154
Medicare Enrollment IDO20180108001135

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Medical Identifiers

Medical identifiers for Avellaneda Psychological Servivces Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215461124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY5919 (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. Avellaneda Psychological Servivces Pa acts as a billing entity for following providers:
Provider NameVictoria B Avellaneda
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740297266
PECOS PAC ID: 5698813277
Enrollment ID: I20091119000326

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