Kathryn Doll Llc - Medicare Mental Health Clinic in Coral Springs, FL

Kathryn Doll Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Coral Springs, Florida. The current practice location for Kathryn Doll Llc is 9900 W Sample Rd Ste 309, Coral Springs, Florida. For appointments, you can reach them via phone at (954) 260-8667. The mailing address for Kathryn Doll Llc is 8500 Nw 79th St, Tamarac, Florida and phone number is (954) 260-8667.

Kathryn Doll Llc is licensed to practice in Florida (license number SW 14042). The clinic also participates in the medicare program and its NPI number is 1093256935. 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) 260-8667.

Contact Information

Kathryn Doll Llc
9900 W Sample Rd Ste 309
Coral Springs
FL 33065-4048
(954) 260-8667
Not Available

Mental Health Clinic Profile

Full NameKathryn Doll Llc
SpecialityCommunity/Behavioral Health
Location9900 W Sample Rd Ste 309, Coral Springs, Florida
Authorized Official Name and PositionKathryn Doll (OWNER/MANAGER)
Authorized Official Contact9542608667
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Doll Llc
8500 Nw 79th St
Tamarac
FL 33321-1659

Ph: (954) 260-8667
Kathryn Doll Llc
9900 W Sample Rd Ste 309
Coral Springs
FL 33065-4048

Ph: (954) 260-8667

NPI Details:

NPI Number1093256935
Provider Enumeration Date03/11/2017
Last Update Date10/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID6901170570
Medicare Enrollment IDO20170920001531

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Medical Identifiers

Medical identifiers for Kathryn Doll Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093256935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health SW 14042 (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. Kathryn Doll Llc acts as a billing entity for following providers:
Provider NameKathryn Doll
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215474499
PECOS PAC ID: 8628342292
Enrollment ID: I20170920001837

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Community/Behavioral Health in Coral Springs, FL

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