Genesis Community Care Incorporated - Medicare Mental Health Clinic in Hollywood, FL

Genesis Community Care Incorporated is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Hollywood, Florida. The current practice location for Genesis Community Care Incorporated is 2210 Pierce St, Hollywood, Florida. For appointments, you can reach them via phone at (786) 262-3668. The mailing address for Genesis Community Care Incorporated is 4290 Sw 141st Ave, Miramar, Florida and phone number is (786) 262-3668.

Genesis Community Care Incorporated is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760088132. 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 (786) 262-3668.

Contact Information

Genesis Community Care Incorporated
2210 Pierce St
Hollywood
FL 33020-4414
(786) 262-3668
Not Available

Mental Health Clinic Profile

Full NameGenesis Community Care Incorporated
SpecialityClinic/Center
Location2210 Pierce St, Hollywood, Florida
Authorized Official Name and PositionFelicia Senetta Ali (DIRECTOR)
Authorized Official Contact7862623668
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Community Care Incorporated
4290 Sw 141st Ave
Miramar
FL 33027-3040

Ph: (786) 262-3668
Genesis Community Care Incorporated
2210 Pierce St
Hollywood
FL 33020-4414

Ph: (786) 262-3668

NPI Details:

NPI Number1760088132
Provider Enumeration Date12/09/2020
Last Update Date12/09/2020
Certification Date12/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6507230927
Medicare Enrollment IDO20230324001717

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Medical Identifiers

Medical identifiers for Genesis Community Care Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760088132NPI-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. Genesis Community Care Incorporated acts as a billing entity for following providers:
Provider NameEric Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851557813
PECOS PAC ID: 7618016619
Enrollment ID: I20211112002003

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Provider NameMarcheley Adam
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508003369
PECOS PAC ID: 6507221694
Enrollment ID: I20230425000244

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› Verified 5 days ago

Clinic/Center in Hollywood, FL

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Phone: 954-265-6966    Fax: 954-265-6950
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Medicare: Medicare Enrolled
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