Dr Cecilia Theresa Deidan, PHD - Medicare in Pembroke Pines, FL

Dr Cecilia Theresa Deidan, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Pembroke Pines, Florida. Her current practice location is 18459 Pines Blvd, #324, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 266-8037.

Dr Cecilia Theresa Deidan is licensed to practice in Florida (license number PY0004983) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396757506.

Contact Information

Dr Cecilia Theresa Deidan, PHD
18459 Pines Blvd, #324,
Pembroke Pines, FL 33029-1400
(954) 266-8037
Not Available



Healthcare Provider's Profile

Full NameDr Cecilia Theresa Deidan
GenderFemale
SpecialityClinical Neuropsychologist
Location18459 Pines Blvd, Pembroke Pines, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396757506
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123196680
  • Enrollment ID: I20101105001067

Medical Identifiers

Medical identifiers for Dr Cecilia Theresa Deidan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396757506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY0004983 (Florida)Secondary
103G00000XClinical Neuropsychologist PY0004983 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cecilia Theresa Deidan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Cecilia Theresa Deidan, PHD
18459 Pines Blvd, #324,
Pembroke Pines, FL 33029-1400

Ph: (954) 266-8037
Dr Cecilia Theresa Deidan, PHD
18459 Pines Blvd, #324,
Pembroke Pines, FL 33029-1400

Ph: (954) 266-8037

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