Manuel De La Portilla, MH6485 in South Miami, FL

Manuel De La Portilla, MH6485 is a medicare enrolled "Counselor - Mental Health" provider in South Miami, Florida. His current practice location is 7800 Sw 57th Ave, Suite #101, South Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 662-1095.

Manuel De La Portilla is licensed to practice in Florida (license number MH6485) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831357474.

Contact Information

	Manuel De La Portilla, MH6485
	7800 Sw 57th Ave, Suite #101, South Miami, FL 33143-5528
	(305) 662-1095
	(305) 238-3511

Map and Direction

Healthcare Provider's Profile

Full Name	Manuel De La Portilla
Gender	Male
Speciality	Counselor - Mental Health
Location	7800 Sw 57th Ave, South Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831357474
Provider Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008

Medicare PECOS Information:

PECOS PAC ID: 9638521040
Enrollment ID: I20240122003678

Medical Identifiers

Medical identifiers for Manuel De La Portilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831357474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH6485 (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. Manuel De La Portilla allows following entities to bill medicare on his behalf.

Entity Name	Miracle Medical Center Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144966680 PECOS PAC ID: 3274989645 Enrollment ID: O20231023000978

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. Manuel De La Portilla 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
Manuel De La Portilla, MH6485 7800 Sw 57th Ave, Suite #101, South Miami, FL 33143-5528 Ph: (305) 662-1095	Manuel De La Portilla, MH6485 7800 Sw 57th Ave, Suite #101, South Miami, FL 33143-5528 Ph: (305) 662-1095

Reviews and Comments

Counselor in South Miami, FL

Mr. Alfredo Hernandez, M.S., LMHC, Q-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7171 Sw 62nd Ave Ste 300, South Miami, FL 33143 Phone: 305-270-5305 Fax: 305-270-5306
Mrs. Andrea Susan Pastorello, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw 57th Ave, South Miami, FL 33143 Phone: 305-202-1347 Fax: 305-238-3511
Mr. Gregory L Frederick, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5975 Sunset Dr Ste 504, South Miami, FL 33143 Phone: 561-444-3512 Fax: 800-915-6119
Mr. George S Hobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7600 S Red Rd Ste 215, South Miami, FL 33143 Phone: 305-546-0669
Anna Halliday, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5901 Sw 74th St Ste 412, South Miami, FL 33143 Phone: 305-205-3810
Chinelo Veronica Okpalobi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6001 Sw 70th St, South Miami, FL 33143 Phone: 504-495-5213
Mariangela Nava, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7600 S Red Rd Ste 127, South Miami, FL 33143 Phone: 786-508-2207

Manuel De La Portilla, MH6485 - Medicare Counselor in South Miami, FL