Jack R Weitz Phd Pa - Medicare Mental Health Clinic in N Miami Beach, FL

Jack R Weitz Phd Pa is a medicare enrolled mental health clinic (Psychologist) in N Miami Beach, Florida. The current practice location for Jack R Weitz Phd Pa is 1021 Ives Dairy Rd, Bldg 3 Suite 119, N Miami Beach, Florida. For appointments, you can reach them via phone at (305) 655-2335. The mailing address for Jack R Weitz Phd Pa is 1021 Ives Dairy Rd, Bldg 3 Suite 119, N Miami Beach, Florida and phone number is (305) 655-2335.

Jack R Weitz Phd Pa is licensed to practice in Florida (license number PY4345). The clinic also participates in the medicare program and its NPI number is 1063579662. 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 (305) 655-2335.

Contact Information

Jack R Weitz Phd Pa
1021 Ives Dairy Rd
Bldg 3 Suite 119
N Miami Beach
FL 33179
(305) 655-2335
(305) 652-5759

Mental Health Clinic Profile

Full NameJack R Weitz Phd Pa
SpecialityPsychologist
Location1021 Ives Dairy Rd, N Miami Beach, Florida
Authorized Official Name and PositionJack Robert Weitz (PRESIDENT PSYCHOLOGIST)
Authorized Official Contact3056552335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack R Weitz Phd Pa
1021 Ives Dairy Rd
Bldg 3 Suite 119
N Miami Beach
FL 33179

Ph: (305) 655-2335
Jack R Weitz Phd Pa
1021 Ives Dairy Rd
Bldg 3 Suite 119
N Miami Beach
FL 33179

Ph: (305) 655-2335

NPI Details:

NPI Number1063579662
Provider Enumeration Date01/02/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5799968640
Medicare Enrollment IDO20110330000566

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Medical Identifiers

Medical identifiers for Jack R Weitz Phd Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063579662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY4345 (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. Jack R Weitz Phd Pa acts as a billing entity for following providers:
Provider NameJack R Weitz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407904873
PECOS PAC ID: 8123201076
Enrollment ID: I20110330000878

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Psychologist in N Miami Beach, FL

Chrysalis Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1868 Ne 164th St, N Miami Beach, FL 33162
Phone: 954-587-1008    

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