Bayside Recoery And Wellness Center Llc - Medicare Mental Health Clinic in Palm Bay, FL

Bayside Recoery And Wellness Center Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Palm Bay, Florida. The current practice location for Bayside Recoery And Wellness Center Llc is 1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, Florida. For appointments, you can reach them via phone at (321) 372-6897. The mailing address for Bayside Recoery And Wellness Center Llc is 1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, Florida and phone number is (321) 372-6897.

Bayside Recoery And Wellness Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134775976. 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 (321) 372-6897.

Contact Information

Bayside Recoery And Wellness Center Llc
1501 Robert J Conlan Blvd Ne Ste 7
Palm Bay
FL 32905-3559
(321) 372-6897
(321) 372-6896

Mental Health Clinic Profile

Full NameBayside Recoery And Wellness Center Llc
SpecialityCommunity/Behavioral Health
Location1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, Florida
Authorized Official Name and PositionMorgan O'shaughnessy (CEO/CLINCIAL DIRECTOR)
Authorized Official Contact3213726897
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bayside Recoery And Wellness Center Llc
1501 Robert J Conlan Blvd Ne Ste 7
Palm Bay
FL 32905-3559

Ph: (321) 372-6897
Bayside Recoery And Wellness Center Llc
1501 Robert J Conlan Blvd Ne Ste 7
Palm Bay
FL 32905-3559

Ph: (321) 372-6897

NPI Details:

NPI Number1134775976
Provider Enumeration Date08/16/2019
Last Update Date12/13/2021
Certification Date12/13/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9032507272
Medicare Enrollment IDO20211021000142

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Medical Identifiers

Medical identifiers for Bayside Recoery And Wellness Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134775976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bayside Recoery And Wellness Center Llc acts as a billing entity for following providers:
Provider NameBethann Mahoney
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104990217
PECOS PAC ID: 2264424936
Enrollment ID: I20131218000793

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Provider NameAgustin Gracia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295469054
PECOS PAC ID: 0345624110
Enrollment ID: I20220826002895

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Provider NameKerstin D Welch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174283097
PECOS PAC ID: 7113391939
Enrollment ID: I20230317002108

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Community/Behavioral Health in Palm Bay, FL

Abundant Life Centers Llc
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Medicare: Medicare Enrolled
Practice Location: 2475 Palm Bay Rd Ne Ste 145-23, Palm Bay, FL 32905
Phone: 321-345-6831    
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Practice Location: 4640 Lipscomb St Ne Ste 4, Palm Bay, FL 32905
Phone: 321-537-4467    
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Making Strides Aba Therapy Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 4670 Lipscomb St Ne Ste 2, Palm Bay, FL 32905
Phone: 321-312-1666    Fax: 321-733-1860

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