Neurocity Junction, Llc is a medicare enrolled "Psychiatry & Neurology - Neurology" provider in Davie, Florida. Their current practice location is
10650 W State Road 84 Ste 208, Davie, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 424-4240.
Neurocity Junction, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Neurocity Junction, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063977353.
Healthcare Provider's Profile
| Full Name | Neurocity Junction, Llc |
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| Type | Facility |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 10650 W State Road 84 Ste 208, Davie, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063977353
- Provider Enumeration Date: 01/31/2019
- Last Update Date: 01/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062869845
- Enrollment ID: O20231116000740
Medical Identifiers
Medical identifiers for Neurocity Junction, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063977353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (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.
Neurocity Junction, Llc acts as a billing entity for following providers:
| Provider Name | Lourdes Lago |
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| Provider Type | Practitioner - Neurology |
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| Provider Identifiers | NPI Number: 1720316037
PECOS PAC ID: 0345560744
Enrollment ID: I20150527001245 |
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| Provider Name | Lisa Kay Huseboe |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1871085084
PECOS PAC ID: 5092162818
Enrollment ID: I20231115002026 |
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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. Neurocity Junction, Llc 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 Address | Practice Location Address |
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Neurocity Junction, Llc
10650 W State Road 84 Ste 208,
Davie, FL 33324-4235
Ph: (954) 424-4240 | Neurocity Junction, Llc
10650 W State Road 84 Ste 208,
Davie, FL 33324-4235
Ph: (954) 424-4240 |
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