Ilyssa Hershey Psyd Llc - Medicare Mental Health Clinic in Pembroke Pines, FL

Ilyssa Hershey Psyd Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Pembroke Pines, Florida. The current practice location for Ilyssa Hershey Psyd Llc is 15757 Pines Blvd, Pmb 311, Pembroke Pines, Florida. For appointments, you can reach them via phone at (954) 849-2012. The mailing address for Ilyssa Hershey Psyd Llc is 15757 Pines Blvd, Pmb 311, Pembroke Pines, Florida and phone number is (954) 849-2012.

Ilyssa Hershey Psyd Llc is licensed to practice in Florida (license number PY6625). The clinic also participates in the medicare program and its NPI number is 1013260082. 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 (954) 849-2012.

Contact Information

Ilyssa Hershey Psyd Llc
15757 Pines Blvd
Pmb 311
Pembroke Pines
FL 33027-1207
(954) 849-2012
(954) 499-5913

Mental Health Clinic Profile

Full NameIlyssa Hershey Psyd Llc
SpecialityPsychologist
Location15757 Pines Blvd, Pembroke Pines, Florida
Authorized Official Name and PositionIlyssa Hershey (OWNER)
Authorized Official Contact9548492012
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ilyssa Hershey Psyd Llc
15757 Pines Blvd
Pmb 311
Pembroke Pines
FL 33027-1207

Ph: (954) 849-2012
Ilyssa Hershey Psyd Llc
15757 Pines Blvd
Pmb 311
Pembroke Pines
FL 33027-1207

Ph: (954) 849-2012

NPI Details:

NPI Number1013260082
Provider Enumeration Date10/16/2012
Last Update Date10/16/2012

Medicare PECOS Information:

Medicare PECOS PAC ID4082867627
Medicare Enrollment IDO20130110000561

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Medical Identifiers

Medical identifiers for Ilyssa Hershey Psyd Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013260082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY6625 (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. Ilyssa Hershey Psyd Llc acts as a billing entity for following providers:
Provider NameIlyssa M Hershey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417211723
PECOS PAC ID: 7618120155
Enrollment ID: I20130110000586

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