Jaime Marra, Phd, Llc - Medicare Mental Health Clinic in Jacksonville, FL

Jaime Marra, Phd, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Jacksonville, Florida. The current practice location for Jaime Marra, Phd, Llc is 4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 479-5120. The mailing address for Jaime Marra, Phd, Llc is 4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, Florida and phone number is (904) 479-5120.

Jaime Marra, Phd, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245709559. 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 (904) 479-5120.

Contact Information

Jaime Marra, Phd, Llc
4320 Deerwood Lake Pkwy Ste 101-108
Jacksonville
FL 32216-1177
(904) 479-5120
Not Available

Mental Health Clinic Profile

Full NameJaime Marra, Phd, Llc
SpecialityClinic/Center
Location4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, Florida
Authorized Official Name and PositionJaime Victoria Marra (LICENSED PSYCHOLOGIST/OWNER)
Authorized Official Contact9044795120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaime Marra, Phd, Llc
4320 Deerwood Lake Pkwy Ste 101-108
Jacksonville
FL 32216-1177

Ph: (904) 479-5120
Jaime Marra, Phd, Llc
4320 Deerwood Lake Pkwy Ste 101-108
Jacksonville
FL 32216-1177

Ph: (904) 479-5120

NPI Details:

NPI Number1245709559
Provider Enumeration Date11/15/2018
Last Update Date11/15/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8921497066
Medicare Enrollment IDO20211111001757

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Medical Identifiers

Medical identifiers for Jaime Marra, Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245709559NPI-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. Jaime Marra, Phd, Llc acts as a billing entity for following providers:
Provider NameJaime Marra
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376845933
PECOS PAC ID: 5799902128
Enrollment ID: I20140808001069

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