Ben C. Ghozali, Psy.d., P.a. - Medicare Mental Health Clinic in Clearwater, FL

Ben C. Ghozali, Psy.d., P.a. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Clearwater, Florida. The current practice location for Ben C. Ghozali, Psy.d., P.a. is 1227 S Myrtle Ave, Clearwater, Florida. For appointments, you can reach them via phone at (727) 449-2628. The mailing address for Ben C. Ghozali, Psy.d., P.a. is 1227 S Myrtle Ave, Clearwater, Florida and phone number is (727) 449-2628.

Ben C. Ghozali, Psy.d., P.a. is licensed to practice in Florida (license number PY6738). The clinic also participates in the medicare program and its NPI number is 1437388915. 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 (727) 449-2628.

Contact Information

Ben C. Ghozali, Psy.d., P.a.
1227 S Myrtle Ave
Clearwater
FL 33756-3469
(727) 449-2628
(727) 466-0478

Mental Health Clinic Profile

Full NameBen C. Ghozali, Psy.d., P.a.
SpecialityPsychologist
Location1227 S Myrtle Ave, Clearwater, Florida
Authorized Official Name and PositionBen Ghozali (PRESIDENT)
Authorized Official Contact8132158348
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ben C. Ghozali, Psy.d., P.a.
1227 S Myrtle Ave
Clearwater
FL 33756-3469

Ph: (727) 449-2628
Ben C. Ghozali, Psy.d., P.a.
1227 S Myrtle Ave
Clearwater
FL 33756-3469

Ph: (727) 449-2628

NPI Details:

NPI Number1437388915
Provider Enumeration Date07/06/2009
Last Update Date07/06/2009

Medicare PECOS Information:

Medicare PECOS PAC ID7012141021
Medicare Enrollment IDO20131007000590

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Medical Identifiers

Medical identifiers for Ben C. Ghozali, Psy.d., P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437388915NPI-NPPES
73121OtherFLBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY6738 (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. Ben C. Ghozali, Psy.d., P.a. acts as a billing entity for following providers:
Provider NameBen C Ghozali
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689734337
PECOS PAC ID: 0244263028
Enrollment ID: I20050913000382

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