Radical Wellness Pllc - Medicare Mental Health Clinic in Lakeland, FL

Radical Wellness Pllc is a medicare enrolled mental health clinic (Psychologist - Counseling) in Lakeland, Florida. The current practice location for Radical Wellness Pllc is 4729 Us-98 S, Suite 104, Lakeland, Florida. For appointments, you can reach them via phone at (813) 444-7576. The mailing address for Radical Wellness Pllc is 2424 W Brandon Blvd # 1129, Brandon, Florida and phone number is (813) 444-7576.

Radical Wellness Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033849815. 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) 444-7576.

Contact Information

Radical Wellness Pllc
4729 Us-98 S
Suite 104
Lakeland
FL 33812
(813) 444-7576
Not Available

Mental Health Clinic Profile

Full NameRadical Wellness Pllc
SpecialityPsychologist
Location4729 Us-98 S, Lakeland, Florida
Authorized Official Name and PositionMegan Cherry (OWNER)
Authorized Official Contact8134447576
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Radical Wellness Pllc
2424 W Brandon Blvd # 1129
Brandon
FL 33511-4717

Ph: (813) 444-7576
Radical Wellness Pllc
4729 Us-98 S
Suite 104
Lakeland
FL 33812

Ph: (813) 444-7576

NPI Details:

NPI Number1033849815
Provider Enumeration Date06/14/2022
Last Update Date06/14/2022
Certification Date06/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9537532544
Medicare Enrollment IDO20230222000719

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Medical Identifiers

Medical identifiers for Radical Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033849815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (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. Radical Wellness Pllc acts as a billing entity for following providers:
Provider NameMarcus Cherry
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1174279988
PECOS PAC ID: 3173996188
Enrollment ID: I20230222000798

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