Clarisa Carballo, LMHC is a medicare enrolled "Behavior Analyst" provider in Hialeah, Florida. Her current practice location is
630 W 36th St, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 395-5714.
Clarisa Carballo is licensed to practice in Florida (license number 19026) 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 1831359835.
Healthcare Provider's Profile
| Full Name | Clarisa Carballo |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 630 W 36th St, Hialeah, 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: 1831359835
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 10/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032550637
- Enrollment ID: I20240514002411
Medical Identifiers
Medical identifiers for Clarisa Carballo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831359835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 19026 (Florida) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 19026 (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. Clarisa Carballo allows following entities to bill medicare on her behalf.
| Entity Name | One Soul Cmh Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447823430
PECOS PAC ID: 5496145591
Enrollment ID: O20211203001720 |
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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. Clarisa Carballo 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 |
|---|
Clarisa Carballo, LMHC
630 W 36th St,
Hialeah, FL 33012-5136
Ph: (786) 395-5714 | Clarisa Carballo, LMHC
630 W 36th St,
Hialeah, FL 33012-5136
Ph: (786) 395-5714 |
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