Varghese Kodiyan Pa - Medicare Mental Health Clinic in Tampa, FL

Varghese Kodiyan Pa is a medicare enrolled mental health clinic (Social Worker - Clinical) in Tampa, Florida. The current practice location for Varghese Kodiyan Pa is 602 Shellcracker Ct, Tampa, Florida. For appointments, you can reach them via phone at (813) 245-7326. The mailing address for Varghese Kodiyan Pa is 602 Shellcracker Ct, Tampa, Florida and phone number is (813) 245-7326.

Varghese Kodiyan Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003175753. 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) 245-7326.

Contact Information

Varghese Kodiyan Pa
602 Shellcracker Ct
Tampa
FL 33613
(813) 245-7326
Not Available

Mental Health Clinic Profile

Full NameVarghese Kodiyan Pa
SpecialitySocial Worker
Location602 Shellcracker Ct, Tampa, Florida
Authorized Official Name and PositionVarghese Kodiyan (PRESIDENT)
Authorized Official Contact8132457326
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Varghese Kodiyan Pa
602 Shellcracker Ct
Tampa
FL 33613-1214

Ph: (813) 245-7326
Varghese Kodiyan Pa
602 Shellcracker Ct
Tampa
FL 33613

Ph: (813) 245-7326

NPI Details:

NPI Number1003175753
Provider Enumeration Date05/15/2012
Last Update Date05/15/2012

Medicare PECOS Information:

Medicare PECOS PAC ID6204090426
Medicare Enrollment IDO20120619000308

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Medical Identifiers

Medical identifiers for Varghese Kodiyan Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003175753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (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. Varghese Kodiyan Pa acts as a billing entity for following providers:
Provider NameVarghese Kodiyan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326084435
PECOS PAC ID: 6709040934
Enrollment ID: I20120619000504

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