Jose J Dergan P. A - Medicare Mental Health Clinic in Doral, FL

Jose J Dergan P. A is a medicare enrolled mental health clinic (Psychologist) in Doral, Florida. The current practice location for Jose J Dergan P. A is 8249 Nw 36th St Ste 100, Doral, Florida. For appointments, you can reach them via phone at (305) 599-1970. The mailing address for Jose J Dergan P. A is 8249 Nw 36th St Ste 100, Doral, Florida and phone number is (305) 599-1970.

Jose J Dergan P. A is licensed to practice in Florida (license number PY4206). The clinic also participates in the medicare program and its NPI number is 1063714178. 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) 599-1970.

Contact Information

Jose J Dergan P. A
8249 Nw 36th St Ste 100
Doral
FL 33166-6673
(305) 599-1970
(305) 599-1971

Mental Health Clinic Profile

Full NameJose J Dergan P. A
SpecialityPsychologist
Location8249 Nw 36th St Ste 100, Doral, Florida
Authorized Official Name and PositionLourdes Dergan (MANAGER)
Authorized Official Contact3055991970
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jose J Dergan P. A
8249 Nw 36th St Ste 100
Doral
FL 33166-6673

Ph: (305) 599-1970
Jose J Dergan P. A
8249 Nw 36th St Ste 100
Doral
FL 33166-6673

Ph: (305) 599-1970

NPI Details:

NPI Number1063714178
Provider Enumeration Date11/22/2010
Last Update Date05/24/2011

Medicare PECOS Information:

Medicare PECOS PAC ID3971789132
Medicare Enrollment IDO20110524000317

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Medical Identifiers

Medical identifiers for Jose J Dergan P. A such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063714178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY4206 (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. Jose J Dergan P. A acts as a billing entity for following providers:
Provider NameJose J Dergan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629160817
PECOS PAC ID: 0345426482
Enrollment ID: I20110608000536

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