Este Logic, P.a. - Medicare Mental Health Clinic in Sun City Center, FL

Este Logic, P.a. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Sun City Center, Florida. The current practice location for Este Logic, P.a. is 4020 Sun City Center Blvd, Suite 11, Sun City Center, Florida. For appointments, you can reach them via phone at (813) 634-4700. The mailing address for Este Logic, P.a. is 4020 Sun City Center Blvd, Suite 11, Sun City Center, Florida and phone number is (813) 634-4700.

Este Logic, P.a. is licensed to practice in Florida (license number PY6533). The clinic also participates in the medicare program and its NPI number is 1417111782. 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) 634-4700.

Contact Information

Este Logic, P.a.
4020 Sun City Center Blvd
Suite 11
Sun City Center
FL 33573-5285
(813) 634-4700
(813) 634-4703

Mental Health Clinic Profile

Full NameEste Logic, P.a.
SpecialityPsychologist
Location4020 Sun City Center Blvd, Sun City Center, Florida
Authorized Official Name and PositionEstela Long (CLINICAL PSYCHOLOGIST)
Authorized Official Contact8137283521
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Este Logic, P.a.
4020 Sun City Center Blvd
Suite 11
Sun City Center
FL 33573-5285

Ph: (813) 634-4700
Este Logic, P.a.
4020 Sun City Center Blvd
Suite 11
Sun City Center
FL 33573-5285

Ph: (813) 634-4700

NPI Details:

NPI Number1417111782
Provider Enumeration Date07/15/2008
Last Update Date08/23/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8022277326
Medicare Enrollment IDO20120306000587

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Medical Identifiers

Medical identifiers for Este Logic, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417111782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY6533 (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. Este Logic, P.a. acts as a billing entity for following providers:
Provider NameEstela M Long
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700924826
PECOS PAC ID: 0143234062
Enrollment ID: I20060131000334

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