Kristin M. Phillips, Ph.d., Pllc - Medicare Mental Health Clinic in Tampa, FL

Kristin M. Phillips, Ph.d., Pllc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Tampa, Florida. The current practice location for Kristin M. Phillips, Ph.d., Pllc is 14448 Bruce B Downs Blvd, Tampa, Florida. For appointments, you can reach them via phone at (813) 701-2471. The mailing address for Kristin M. Phillips, Ph.d., Pllc is 14448 Bruce B Downs Blvd, Tampa, Florida and phone number is (813) 701-2471.

Kristin M. Phillips, Ph.d., Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114669033. 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 (813) 701-2471.

Contact Information

Kristin M. Phillips, Ph.d., Pllc
14448 Bruce B Downs Blvd
Tampa
FL 33613-2612
(813) 701-2471
(813) 701-2471

Mental Health Clinic Profile

Full NameKristin M. Phillips, Ph.d., Pllc
SpecialityClinic/Center
Location14448 Bruce B Downs Blvd, Tampa, Florida
Authorized Official Name and PositionKristin M. Phillips (MANAGER)
Authorized Official Contact8137012471
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin M. Phillips, Ph.d., Pllc
14448 Bruce B Downs Blvd
Tampa
FL 33613-2612

Ph: (813) 701-2471
Kristin M. Phillips, Ph.d., Pllc
14448 Bruce B Downs Blvd
Tampa
FL 33613-2612

Ph: (813) 701-2471

NPI Details:

NPI Number1114669033
Provider Enumeration Date04/11/2022
Last Update Date04/11/2022
Certification Date04/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7113314410
Medicare Enrollment IDO20220504001937

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Medical Identifiers

Medical identifiers for Kristin M. Phillips, Ph.d., Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114669033NPI-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. Kristin M. Phillips, Ph.d., Pllc acts as a billing entity for following providers:
Provider NameKristin M Phillips
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417210329
PECOS PAC ID: 0749446029
Enrollment ID: I20220504002094

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