Emilia Banse Pmhnp-bc Pllc - Medicare Mental Health Clinic in Santa Rosa Beach, FL

Emilia Banse Pmhnp-bc Pllc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Santa Rosa Beach, Florida. The current practice location for Emilia Banse Pmhnp-bc Pllc is 120 Golden Eagle Ct, Santa Rosa Beach, Florida. For appointments, you can reach them via phone at (202) 876-8787. The mailing address for Emilia Banse Pmhnp-bc Pllc is 120 Golden Eagle Ct, Santa Rosa Beach, Florida and phone number is (202) 876-8787.

Emilia Banse Pmhnp-bc Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164044004. 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 (202) 876-8787.

Contact Information

Emilia Banse Pmhnp-bc Pllc
120 Golden Eagle Ct
Santa Rosa Beach
FL 32459-8344
(202) 876-8787
Not Available

Mental Health Clinic Profile

Full NameEmilia Banse Pmhnp-bc Pllc
SpecialityClinic/Center
Location120 Golden Eagle Ct, Santa Rosa Beach, Florida
Authorized Official Name and PositionEmilia M Banse (NURSE PRACTITIONER/OWNER)
Authorized Official Contact2028768787
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emilia Banse Pmhnp-bc Pllc
120 Golden Eagle Ct
Santa Rosa Beach
FL 32459-8344

Ph: (202) 876-8787
Emilia Banse Pmhnp-bc Pllc
120 Golden Eagle Ct
Santa Rosa Beach
FL 32459-8344

Ph: (202) 876-8787

NPI Details:

NPI Number1164044004
Provider Enumeration Date05/14/2020
Last Update Date05/14/2020
Certification Date05/14/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8022430248
Medicare Enrollment IDO20200617000281

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Medical Identifiers

Medical identifiers for Emilia Banse Pmhnp-bc Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164044004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Emilia Banse Pmhnp-bc Pllc acts as a billing entity for following providers:
Provider NameEmilia M Banse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215278650
PECOS PAC ID: 1456593060
Enrollment ID: I20150225002201

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