Davis Sound Mind Eap - Medicare Mental Health Clinic in Tampa, FL

Davis Sound Mind Eap is a medicare enrolled mental health clinic (Social Worker - Clinical) in Tampa, Florida. The current practice location for Davis Sound Mind Eap is 3820 Northdale Blvd, Suite 312 B, Tampa, Florida. For appointments, you can reach them via phone at (813) 968-3417. The mailing address for Davis Sound Mind Eap is 3820 Northdale Blvd, Suite 312 B, Tampa, Florida and phone number is (813) 968-3417.

Davis Sound Mind Eap is licensed to practice in Florida (license number SW3987). The clinic also participates in the medicare program and its NPI number is 1093114381. 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 (813) 968-3417.

Contact Information

Davis Sound Mind Eap
3820 Northdale Blvd
Suite 312 B
Tampa
FL 33624-1863
(813) 968-3417
(813) 968-5051

Mental Health Clinic Profile

Full NameDavis Sound Mind Eap
SpecialitySocial Worker
Location3820 Northdale Blvd, Tampa, Florida
Authorized Official Name and PositionMark D Davis (OWNER)
Authorized Official Contact8139683417
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davis Sound Mind Eap
3820 Northdale Blvd
Suite 312 B
Tampa
FL 33624-1863

Ph: (813) 968-3417
Davis Sound Mind Eap
3820 Northdale Blvd
Suite 312 B
Tampa
FL 33624-1863

Ph: (813) 968-3417

NPI Details:

NPI Number1093114381
Provider Enumeration Date08/22/2014
Last Update Date08/22/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8921321183
Medicare Enrollment IDO20141220000046

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Medical Identifiers

Medical identifiers for Davis Sound Mind Eap such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093114381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW3987 (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. Davis Sound Mind Eap acts as a billing entity for following providers:
Provider NameMark D. Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568497857
PECOS PAC ID: 0840466082
Enrollment ID: I20120110000317

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› Verified 6 days ago

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