Aylem Collazo-amador, BCBA/MH COUNSELING is a medicare enrolled "Behavior Analyst" provider in Miami, Florida. Her current practice location is
12855 Sw 132nd St Ste 101, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 632-3892.
Aylem Collazo-amador is licensed to practice in Florida (license number ) 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 1972832079.
Healthcare Provider's Profile
| Full Name | Aylem Collazo-amador |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 12855 Sw 132nd St Ste 101, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972832079
- Provider Enumeration Date: 12/18/2009
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012369549
- Enrollment ID: I20240119001840
Medical Identifiers
Medical identifiers for Aylem Collazo-amador such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972832079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (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. Aylem Collazo-amador allows following entities to bill medicare on her behalf.
| Entity Name | Mind Up Advanced Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679358618
PECOS PAC ID: 2860844396
Enrollment ID: O20240119001616 |
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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. Aylem Collazo-amador 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 |
|---|
Aylem Collazo-amador, BCBA/MH COUNSELING
14003 Sw 147th Ct,
Miami, FL 33196-5674
Ph: (305) 632-3892 | Aylem Collazo-amador, BCBA/MH COUNSELING
12855 Sw 132nd St Ste 101,
Miami, FL 33186-7209
Ph: (305) 632-3892 |
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