Dr Lauzurique Phd Pa - Medicare Mental Health Clinic in Kissimmee, FL

Dr Lauzurique Phd Pa is a medicare enrolled mental health clinic (Psychologist - Clinical) in Kissimmee, Florida. The current practice location for Dr Lauzurique Phd Pa is 209 Cobalt Dr, Kissimmee, Florida. For appointments, you can reach them via phone at (787) 528-5560. The mailing address for Dr Lauzurique Phd Pa is 209 Cobalt Dr, Kissimmee, Florida and phone number is (787) 528-5560.

Dr Lauzurique Phd Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215641295. 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 (787) 528-5560.

Contact Information

Dr Lauzurique Phd Pa
209 Cobalt Dr
Kissimmee
FL 34758-3006
(787) 528-5560
Not Available

Mental Health Clinic Profile

Full NameDr Lauzurique Phd Pa
SpecialityPsychologist
Location209 Cobalt Dr, Kissimmee, Florida
Authorized Official Name and PositionCarmen Lauzurique Gonzalez (PRESIDENT)
Authorized Official Contact7875285560
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lauzurique Phd Pa
209 Cobalt Dr
Kissimmee
FL 34758-3006

Ph: (787) 528-5560
Dr Lauzurique Phd Pa
209 Cobalt Dr
Kissimmee
FL 34758-3006

Ph: (787) 528-5560

NPI Details:

NPI Number1215641295
Provider Enumeration Date01/13/2023
Last Update Date01/23/2024
Certification Date01/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3375916331
Medicare Enrollment IDO20230222002806

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Medical Identifiers

Medical identifiers for Dr Lauzurique Phd Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215641295NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dr Lauzurique Phd Pa acts as a billing entity for following providers:
Provider NameCarmen R Lauzurique Gonzalez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1598089229
PECOS PAC ID: 0648409508
Enrollment ID: I20200803001592

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› Verified 6 days ago

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› Verified 6 days ago

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