Olive Health Llc - Medicare Mental Health Clinic in Plant City, FL

Olive Health Llc is a medicare enrolled mental health clinic (Nurse Practitioner - Primary Care) in Plant City, Florida. The current practice location for Olive Health Llc is 4912 W Trapnell Rd, Plant City, Florida. For appointments, you can reach them via phone at (813) 417-4767. The mailing address for Olive Health Llc is 4912 W Trapnell Rd, Plant City, Florida and phone number is (813) 417-4767.

Olive Health Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124612817. 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) 417-4767.

Contact Information

Olive Health Llc
4912 W Trapnell Rd
Plant City
FL 33566-0128
(813) 417-4767
Not Available

Mental Health Clinic Profile

Full NameOlive Health Llc
SpecialityNurse Practitioner
Location4912 W Trapnell Rd, Plant City, Florida
Authorized Official Name and PositionYvette Guzman (OWNER)
Authorized Official Contact8133899474
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olive Health Llc
4912 W Trapnell Rd
Plant City
FL 33566-0128

Ph: (813) 417-4767
Olive Health Llc
4912 W Trapnell Rd
Plant City
FL 33566-0128

Ph: (813) 417-4767

NPI Details:

NPI Number1124612817
Provider Enumeration Date02/24/2021
Last Update Date08/30/2023
Certification Date08/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1153739214
Medicare Enrollment IDO20210409002152

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Medical Identifiers

Medical identifiers for Olive Health Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124612817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (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. Olive Health Llc acts as a billing entity for following providers:
Provider NameYvette Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750794376
PECOS PAC ID: 9739308222
Enrollment ID: I20140916000336

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Provider NameMelissa Gail Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457710287
PECOS PAC ID: 6002107661
Enrollment ID: I20160629000913

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Provider NameMiranda Dawn Panetta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215332838
PECOS PAC ID: 3274938139
Enrollment ID: I20210816004047

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Provider NameDanielle Polovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447961297
PECOS PAC ID: 7719337872
Enrollment ID: I20240102002203

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Nurse Practitioner in Plant City, FL

Mental Health Care Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1403 W Reynolds St, Plant City, FL 33563
Phone: 813-272-2878    Fax: 813-272-3766
Healing Educational Alternatives For Deserving Students, Llc. (heads)
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1001 E Baker St Ste 100, Plant City, FL 33563
Phone: 813-754-5555    
Thomas A Digeronimo Md Pa
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 3302 W Baker St, Plant City, FL 33563
Phone: 813-752-1336    Fax: 813-754-6914
Ashit K Vijapura Md Pa
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 802 W Dr Martin Luther King Jr Blvd Ste D, Plant City, FL 33563
Phone: 813-754-1496    Fax: 813-754-2553
Steven S. Minter, Psy.d., Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 607 S Alexander St, Suite 104, Plant City, FL 33563
Phone: 813-385-7041    Fax: 813-423-6568
The Creative Champs
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1803 C Collins Common James Redman Parkway, Plant City, FL 33563
Phone: 813-715-5170    

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