Christa Vermillera, PHD in Cocoa, FL - Medicare Counselor Provider

Christa Vermillera, PHD is a medicare enrolled "Counselor - Mental Health" provider in Cocoa, Florida. Her current practice location is 937 Dixon Blvd, Cocoa, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 446-2113.

Christa Vermillera is licensed to practice in Florida (license number MH 9873) 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 1184875312.

Contact Information

	Christa Vermillera, PHD
	937 Dixon Blvd, Cocoa, FL 32922-6806
	(321) 446-2113
	(321) 241-4605

Map and Direction

Healthcare Provider's Profile

Full Name	Christa Vermillera
Gender	Female
Speciality	Counselor - Mental Health
Location	937 Dixon Blvd, Cocoa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184875312
Provider Enumeration Date: 10/07/2008
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9032441647
Enrollment ID: I20231229002653

Medical Identifiers

Medical identifiers for Christa Vermillera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184875312	NPI	-	NPPES
1-21-47877	Other	FL	103K00000X
772265	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9873 (Florida)	Secondary
103K00000X	Behavior Analyst	1-21-47877 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH 9873 (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. Christa Vermillera allows following entities to bill medicare on her behalf.

Entity Name	Abc Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194235069 PECOS PAC ID: 8123350733 Enrollment ID: O20191031002444

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. Christa Vermillera 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
Christa Vermillera, PHD 937 Dixon Blvd, Cocoa, FL 32922-6806 Ph: (321) 446-2113	Christa Vermillera, PHD 937 Dixon Blvd, Cocoa, FL 32922-6806 Ph: (321) 446-2113

Reviews and Comments

Counselor in Cocoa, FL

Michael Stokes, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Cocoa Blvd, Cocoa, FL 32922 Phone: 321-631-4578
Stephanie Ann Chambers Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Peachtree St, Cocoa, FL 32922 Phone: 321-252-4449
Patricia Bell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3740 Curtis Blvd, Suite 102, Cocoa, FL 32927 Phone: 321-632-9929 Fax: 321-631-6187
Fonya Cotman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Brevard Ave Ste 104, Cocoa, FL 32922 Phone: 321-433-1111
Jennifer Elisa Brown, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3728 Chambers Ln Unit 8, Cocoa, FL 32926 Phone: 404-578-1730
Ms. Katelyn S Stiles, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 Dixon Blvd, Cocoa, FL 32922 Phone: 321-266-7997
Jacqueline Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 846 North Cocoa Blvd, Suite A, Cocoa, FL 32922 Phone: 321-544-2743

Christa Vermillera, PHD - Medicare Counselor in Cocoa, FL