Mrs Angelique Melendez-blanch, PSYD is a medicare enrolled "Psychologist" provider in Immokalee, Florida. Her current practice location is
1454 Madison Ave W, Immokalee, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 658-3720.
Mrs Angelique Melendez-blanch is licensed to practice in Florida (license number PY9517) 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 1487095550.
Healthcare Provider's Profile
| Full Name | Mrs Angelique Melendez-blanch |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1454 Madison Ave W, Immokalee, 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: 1487095550
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 12/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981909843
- Enrollment ID: I20160621001947
Medical Identifiers
Medical identifiers for Mrs Angelique Melendez-blanch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487095550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 2591 (Oregon) | Secondary |
| 103T00000X | Psychologist | PY9517 (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. Mrs Angelique Melendez-blanch allows following entities to bill medicare on her behalf.
| Entity Name | Collier Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609827211
PECOS PAC ID: 4183521925
Enrollment ID: O20040210000106 |
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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. Mrs Angelique Melendez-blanch 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 |
|---|
Mrs Angelique Melendez-blanch, PSYD
1454 Madison Ave W,
Immokalee, FL 34142-2200
Ph: (239) 658-3720 | Mrs Angelique Melendez-blanch, PSYD
1454 Madison Ave W,
Immokalee, FL 34142-2200
Ph: (239) 658-3720 |
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