The Memory Doctor, Llc - Medicare Mental Health Clinic in Leesburg, FL

The Memory Doctor, Llc is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Leesburg, Florida. The current practice location for The Memory Doctor, Llc is 26540 Ace Ave Ste E-106, Leesburg, Florida. For appointments, you can reach them via phone at (352) 530-2170. The mailing address for The Memory Doctor, Llc is 26540 Ace Ave Ste E-106, Leesburg, Florida and phone number is (352) 530-2170.

The Memory Doctor, Llc is licensed to practice in Florida (license number PY6497). The clinic also participates in the medicare program and its NPI number is 1265434534. 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 (352) 530-2170.

Contact Information

The Memory Doctor, Llc
26540 Ace Ave Ste E-106
Leesburg
FL 34748-8279
(352) 530-2170
(352) 530-2180

Mental Health Clinic Profile

Full NameThe Memory Doctor, Llc
SpecialityClinical Neuropsychologist
Location26540 Ace Ave Ste E-106, Leesburg, Florida
Authorized Official Name and PositionBrenda Mason (OFFICE MANAGER)
Authorized Official Contact3525302170
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Memory Doctor, Llc
26540 Ace Ave Ste E-106
Leesburg
FL 34748-8279

Ph: (352) 530-2170
The Memory Doctor, Llc
26540 Ace Ave Ste E-106
Leesburg
FL 34748-8279

Ph: (352) 530-2170

NPI Details:

NPI Number1265434534
Provider Enumeration Date06/01/2005
Last Update Date03/29/2021
Certification Date03/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9436142882
Medicare Enrollment IDO20040403000208

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Medical Identifiers

Medical identifiers for The Memory Doctor, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265434534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist PY6497 (Florida)Primary
103T00000XPsychologist PY6497 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Memory Doctor, Llc acts as a billing entity for following providers:
Provider NameDouglas J Mason
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750383006
PECOS PAC ID: 6204723612
Enrollment ID: I20131014000629

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