Mrs Cynthia Jean Harris-maddox, in Holly Hill, FL

Mrs Cynthia Jean Harris-maddox, is a medicare enrolled "Counselor - Mental Health" provider in Holly Hill, Florida. Her current practice location is 316 Scotland Dr, Holly Hill, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 265-2677.

Mrs Cynthia Jean Harris-maddox is licensed to practice in Florida (license number MH21555) 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 1174893671.

Contact Information

	Mrs Cynthia Jean Harris-maddox,
	316 Scotland Dr, Holly Hill, FL 32117-4254
	(386) 265-2677
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Cynthia Jean Harris-maddox
Gender	Female
Speciality	Counselor - Mental Health
Location	316 Scotland Dr, Holly Hill, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174893671
Provider Enumeration Date: 12/31/2011
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4082156369
Enrollment ID: I20240603002890

Medical Identifiers

Medical identifiers for Mrs Cynthia Jean Harris-maddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174893671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH21555 (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. Mrs Cynthia Jean Harris-maddox allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Mrs Cynthia Jean Harris-maddox 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
Mrs Cynthia Jean Harris-maddox, 316 Scotland Dr, Holly Hill, FL 32117-4254 Ph: (386) 255-3741	Mrs Cynthia Jean Harris-maddox, 316 Scotland Dr, Holly Hill, FL 32117-4254 Ph: (386) 265-2677

Reviews and Comments

Counselor in Holly Hill, FL

Tavon Kellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Strawberry Ln, Holly Hill, FL 32117 Phone: 786-316-5314
Nathan P Wharton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Ridgewood Ave, Holly Hill, FL 32117 Phone: 813-484-3505
Mrs. Linda Anne Rodgers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Ridgewood Ave, Holly Hill, FL 32117 Phone: 386-676-7100 Fax: 386-676-7125
Michael Scott Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: Michael Edwards, 1452 Atlanta Dr, Holly Hill, FL 32117 Phone: 386-274-8089

Mrs Cynthia Jean Harris-maddox, - Medicare Counselor in Holly Hill, FL