Pamela A Mark Llc - Medicare Mental Health Clinic in Orlando, FL

Pamela A Mark Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Orlando, Florida. The current practice location for Pamela A Mark Llc is 605 E Robinson St, Suite 103, Orlando, Florida. For appointments, you can reach them via phone at (407) 697-7173. The mailing address for Pamela A Mark Llc is 605 E Robinson St, Suite 103, Orlando, Florida and phone number is (407) 697-7173.

Pamela A Mark Llc is licensed to practice in Florida (license number PY6747). The clinic also participates in the medicare program and its NPI number is 1093999492. 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 (407) 697-7173.

Contact Information

Pamela A Mark Llc
605 E Robinson St
Suite 103
Orlando
FL 32801-2040
(407) 697-7173
Not Available

Mental Health Clinic Profile

Full NamePamela A Mark Llc
SpecialityPsychologist
Location605 E Robinson St, Orlando, Florida
Authorized Official Name and PositionPamela A Mark (OWNER)
Authorized Official Contact4076977173
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pamela A Mark Llc
605 E Robinson St
Suite 103
Orlando
FL 32801-2040

Ph: (407) 697-7173
Pamela A Mark Llc
605 E Robinson St
Suite 103
Orlando
FL 32801-2040

Ph: (407) 697-7173

NPI Details:

NPI Number1093999492
Provider Enumeration Date12/20/2007
Last Update Date02/07/2012

Medicare PECOS Information:

Medicare PECOS PAC ID0446329437
Medicare Enrollment IDO20080516000239

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Medical Identifiers

Medical identifiers for Pamela A Mark Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093999492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY6747 (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. Pamela A Mark Llc acts as a billing entity for following providers:
Provider NamePamela A Mark
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679696496
PECOS PAC ID: 2668487935
Enrollment ID: I20060208000618

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