Heart Song Wellness Llc - Medicare Mental Health Clinic in Peoria, AZ

Heart Song Wellness Llc is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Peoria, Arizona. The current practice location for Heart Song Wellness Llc is 8715 W Union Hills Dr Ste 111, Peoria, Arizona. For appointments, you can reach them via phone at (425) 233-1732. The mailing address for Heart Song Wellness Llc is 8715 W Union Hills Dr Ste 111, Peoria, Arizona and phone number is (425) 233-1732.

Heart Song Wellness Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073171153. 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 (425) 233-1732.

Contact Information

Heart Song Wellness Llc
8715 W Union Hills Dr Ste 111
Peoria
AZ 85382-3031
(425) 233-1732
(623) 248-7737

Mental Health Clinic Profile

Full NameHeart Song Wellness Llc
SpecialityClinic/Center
Location8715 W Union Hills Dr Ste 111, Peoria, Arizona
Authorized Official Name and PositionKaryn A Mackenzie Fajardo (OWNER)
Authorized Official Contact4252331732
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heart Song Wellness Llc
8715 W Union Hills Dr Ste 111
Peoria
AZ 85382-3031

Ph: (425) 233-1732
Heart Song Wellness Llc
8715 W Union Hills Dr Ste 111
Peoria
AZ 85382-3031

Ph: (425) 233-1732

NPI Details:

NPI Number1073171153
Provider Enumeration Date06/03/2019
Last Update Date03/07/2022
Certification Date03/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4183950744
Medicare Enrollment IDO20190719002701

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Medical Identifiers

Medical identifiers for Heart Song Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073171153NPI-NPPES
1073171153OtherNPI
1154445062OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (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. Heart Song Wellness Llc acts as a billing entity for following providers:
Provider NameKaryn A Mackenzie Fajardo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154445062
PECOS PAC ID: 6002176294
Enrollment ID: I20180208000695

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