Leonardo Lorenzo Chacon Asusta, is a medicare enrolled "Behavior Analyst" provider in Coral Gables, Florida. His current practice location is
4490 Sw 5 Terr, Coral Gables, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 298-4089.
Leonardo Lorenzo Chacon Asusta is licensed to practice in Florida (license number SW15007) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730695933.
Healthcare Provider's Profile
Full Name | Leonardo Lorenzo Chacon Asusta |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 4490 Sw 5 Terr, Coral Gables, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730695933
- Provider Enumeration Date: 12/26/2017
- Last Update Date: 08/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830583939
- Enrollment ID: I20220307002495
Medical Identifiers
Medical identifiers for Leonardo Lorenzo Chacon Asusta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730695933 | NPI | - | NPPES |
023396400 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW15007 (Florida) | Secondary |
103K00000X | Behavior Analyst | SW15007 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leonardo Lorenzo Chacon Asusta allows following entities to bill medicare on his behalf.
Entity Name | Florida Personal Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144797838 PECOS PAC ID: 5799101499 Enrollment ID: O20200812001069 |
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Entity Name | Raise Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932800646 PECOS PAC ID: 9931550563 Enrollment ID: O20240109000744 |
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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. Leonardo Lorenzo Chacon Asusta 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 |
Leonardo Lorenzo Chacon Asusta, 4490 Sw 5th Ter, Coral Gables, FL 33134-1961 Ph: (305) 298-4089 | Leonardo Lorenzo Chacon Asusta, 4490 Sw 5 Terr, Coral Gables, FL 33134 Ph: (305) 298-4089 |
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