Jissell Athabeira Ventura, is a
Early Intervention Provider Agency based in Eustis, Florida. Jissell Athabeira Ventura is licensed to practice in * (Not Available) (license number ) and her current practice location is
6 N Eustis St, Eustis, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 276-5054.
NPI number for Jissell Athabeira Ventura is 1730752528 and her current mailing address is 11457 Crescent Pines Blvd, Clermont, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730752528.
Healthcare Provider's Profile
| Full Name | Jissell Athabeira Ventura |
|---|
| Gender | Female |
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| Speciality | Early Intervention Provider Agency |
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| Location | 6 N Eustis St, Eustis, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730752528
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 01/20/2022
Medical Identifiers
Medical identifiers for Jissell Athabeira Ventura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730752528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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. Jissell Athabeira Ventura is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jissell Athabeira Ventura,
11457 Crescent Pines Blvd,
Clermont, FL 34711-7864
Ph: (347) 867-3351 | Jissell Athabeira Ventura,
6 N Eustis St,
Eustis, FL 32726-3408
Ph: (321) 276-5054 |
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