Prestige Concierge Psychiatry - Medicare Mental Health Clinic in Fort Lauderdale, FL

Prestige Concierge Psychiatry is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Fort Lauderdale, Florida. The current practice location for Prestige Concierge Psychiatry is 3800 W Broward Blvd, Fort Lauderdale, Florida. For appointments, you can reach them via phone at (954) 496-2599. The mailing address for Prestige Concierge Psychiatry is 3800 W Broward Blvd, Fort Lauderdale, Florida and phone number is (954) 496-2599.

Prestige Concierge Psychiatry is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215623624. 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) 496-2599.

Contact Information

Prestige Concierge Psychiatry
3800 W Broward Blvd
Fort Lauderdale
FL 33312-1018
(954) 496-2599
Not Available

Mental Health Clinic Profile

Full NamePrestige Concierge Psychiatry
SpecialityPsychiatry & Neurology
Location3800 W Broward Blvd, Fort Lauderdale, Florida
Authorized Official Name and PositionHenry Odazie (CEO)
Authorized Official Contact9544962599
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prestige Concierge Psychiatry
3800 W Broward Blvd
Fort Lauderdale
FL 33312-1018

Ph: (954) 496-2599
Prestige Concierge Psychiatry
3800 W Broward Blvd
Fort Lauderdale
FL 33312-1018

Ph: (954) 496-2599

NPI Details:

NPI Number1215623624
Provider Enumeration Date04/18/2023
Last Update Date03/20/2024
Certification Date03/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7416315882
Medicare Enrollment IDO20230615003263

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Medical Identifiers

Medical identifiers for Prestige Concierge Psychiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215623624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prestige Concierge Psychiatry acts as a billing entity for following providers:
Provider NameHenry Odazie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740880848
PECOS PAC ID: 4688084296
Enrollment ID: I20201111001171

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Provider NameChinedu O Okeke
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1942663364
PECOS PAC ID: 6901190230
Enrollment ID: I20211108002519

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Provider NameAhmed Riaz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467959908
PECOS PAC ID: 5395097976
Enrollment ID: I20220713000380

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Provider NameRajalakshmi Suresh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881393304
PECOS PAC ID: 9133580624
Enrollment ID: I20230731004109

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Provider NameManju Chandran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245926146
PECOS PAC ID: 5294181897
Enrollment ID: I20231101003129

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Psychiatry & Neurology in Fort Lauderdale, FL

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