Charisse Renee Diaz, LMHC in Palm Harbor, FL - Medicare Counselor Provider

Charisse Renee Diaz, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Palm Harbor, Florida. Her current practice location is 2708 Alternate 19 North, Suite 507-6, Palm Harbor, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 601-0595.

Charisse Renee Diaz is licensed to practice in Florida (license number MH13291) 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 1295144699.

Contact Information

	Charisse Renee Diaz, LMHC
	2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683
	(813) 601-0595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charisse Renee Diaz
Gender	Female
Speciality	Counselor - Mental Health
Location	2708 Alternate 19 North, Palm Harbor, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295144699
Provider Enumeration Date: 08/11/2014
Last Update Date: 06/24/2016

Medicare PECOS Information:

PECOS PAC ID: 7012285265
Enrollment ID: I20240430001899

Medical Identifiers

Medical identifiers for Charisse Renee Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295144699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH13291 (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. Charisse Renee Diaz allows following entities to bill medicare on her behalf.

Entity Name	Tampa Bay Area Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508409319 PECOS PAC ID: 5193176006 Enrollment ID: O20240104002928

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. Charisse Renee Diaz 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
Charisse Renee Diaz, LMHC 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 Ph: (813) 601-0595	Charisse Renee Diaz, LMHC 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 Ph: (813) 601-0595

Reviews and Comments

Counselor in Palm Harbor, FL

Tami J Skifstad, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31640 Us Highway 19 N Ste 2, Palm Harbor, FL 34684 Phone: 727-222-3595
Ms. Brenda Faye Vellance, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2843 Alternate 19, Palm Harbor, FL 34683 Phone: 727-772-0038 Fax: 727-787-2384
Ms. Jill Andrea Freeman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Alt 19 Ste 507-12, Palm Harbor, FL 34683 Phone: 727-286-0740 Fax: 727-279-4644
Hailey Brianna Macnealy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 Alt 19 Ste 6, Palm Harbor, FL 34683 Phone: 727-343-3662
Dana Williams, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3023 Alt 19 Ste 102, Palm Harbor, FL 34683 Phone: 727-220-2203
Sarah E Trembley, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31640 Us Highway 19 N Ste 2, Palm Harbor, FL 34684 Phone: 425-830-1410
Shannon Detwiler, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2432 Clubside Ct Apt 327, Palm Harbor, FL 34683 Phone: 717-557-7337

Charisse Renee Diaz, LMHC - Medicare Counselor in Palm Harbor, FL