Maria Ximena Duarte, PSYD, LMHC - Medicare Counselor in Hialeah, FL

Maria Ximena Duarte, PSYD, LMHC is a medicare enrolled "Psychologist - Clinical" provider in Hialeah, Florida. Her current practice location is 5901 Nw 183rd St Ste 310, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 418-9790.

Maria Ximena Duarte is licensed to practice in Florida (license number PY11259) 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 1316282817.

Contact Information

Maria Ximena Duarte, PSYD, LMHC
5901 Nw 183rd St Ste 310,
Hialeah, FL 33015-6008
(786) 418-9790
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMaria Ximena Duarte
GenderFemale
SpecialityPsychologist - Clinical
Location5901 Nw 183rd St Ste 310, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316282817
  • Provider Enumeration Date: 12/10/2012
  • Last Update Date: 09/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385011725
  • Enrollment ID: I20221027002662

Medical Identifiers

Medical identifiers for Maria Ximena Duarte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316282817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH16649 (Florida)Secondary
103TC0700XPsychologist - Clinical PY11259 (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. Maria Ximena Duarte allows following entities to bill medicare on her behalf.
Entity NameThrive Behavioral Sciences Tampa Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962989806
PECOS PAC ID: 2961747506
Enrollment ID: O20181231000019
Entity NameThrive Behavioral Sciences- Orlando Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063979730
PECOS PAC ID: 9739420654
Enrollment ID: O20190402002627

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. Maria Ximena Duarte 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 AddressPractice Location Address
Maria Ximena Duarte, PSYD, LMHC
490 Ne 141st St,
North Miami, FL 33161-3127

Ph: (305) 878-4842
Maria Ximena Duarte, PSYD, LMHC
5901 Nw 183rd St Ste 310,
Hialeah, FL 33015-6008

Ph: (786) 418-9790

Reviews and Comments


Psychologist in Hialeah, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.