Melida Berroa, is a medicare enrolled "Social Worker" provider in Miami, Florida. Her current practice location is
250 Nw 190th St, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 529-6486.
Melida Berroa is licensed to practice in Florida (license number SW17036) 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 1275165367.
Healthcare Provider's Profile
| Full Name | Melida Berroa |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 250 Nw 190th St, Miami, 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: 1275165367
- Provider Enumeration Date: 02/07/2020
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638591993
- Enrollment ID: I20200616000767
Medical Identifiers
Medical identifiers for Melida Berroa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275165367 | NPI | - | NPPES |
| 84-4342759 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | SW17036 (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. Melida Berroa allows following entities to bill medicare on her behalf.
| Entity Name | Miami Gardens Counseling Service Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477191567
PECOS PAC ID: 9638507361
Enrollment ID: O20200312000111 |
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| Entity Name | Comprehensive Counseling And Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275062135
PECOS PAC ID: 8022426071
Enrollment ID: O20210413000664 |
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| Entity Name | Universal Clinical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679227870
PECOS PAC ID: 3870958861
Enrollment ID: O20230426001786 |
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| Entity Name | M.a.m. Therapeutic Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215536180
PECOS PAC ID: 0446612931
Enrollment ID: O20230815004074 |
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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. Melida Berroa 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 |
|---|
Melida Berroa,
250 Nw 190th St,
Miami, FL 33169-4002
Ph: (786) 529-6486 | Melida Berroa,
250 Nw 190th St,
Miami, FL 33169-4002
Ph: (786) 529-6486 |
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