Dr David D Coronado, PSY D, LMHC is a medicare enrolled "Psychologist" provider in Sanford, Florida. His current practice location is
722 Trade Way, Sanford, Florida. You can reach out to his office (for appointments etc.) via phone at
(833) 769-3524.
Dr David D Coronado is licensed to practice in Florida (license number PY12212) 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 1083171458.
Healthcare Provider's Profile
| Full Name | Dr David D Coronado |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 722 Trade Way, Sanford, 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: 1083171458
- Provider Enumeration Date: 02/21/2019
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870934904
- Enrollment ID: I20240507003434
Medical Identifiers
Medical identifiers for Dr David D Coronado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083171458 | NPI | - | NPPES |
| 16244 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH16244 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY12212 (Florida) | Secondary |
| 103T00000X | Psychologist | PY12212 (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. Dr David D Coronado allows following entities to bill medicare on his behalf.
| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587 |
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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. Dr David D Coronado 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 |
|---|
Dr David D Coronado, PSY D, LMHC
1414 Nw 107th Ave,
Sweetwater, FL 33172-2732
Ph: (786) 762-2952 | Dr David D Coronado, PSY D, LMHC
722 Trade Way,
Sanford, FL 32771-8657
Ph: (833) 769-3524 |
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