Mrs Lourdes Berlanga, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Mc Alpin, Florida. Her current practice location is
11985 County Road 252, Mc Alpin, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 398-2112.
Mrs Lourdes Berlanga is licensed to practice in Florida (license number MT4299) 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 1922644079.
Healthcare Provider's Profile
| Full Name | Mrs Lourdes Berlanga |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 11985 County Road 252, Mc Alpin, 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: 1922644079
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951741024
- Enrollment ID: I20240507000309
Medical Identifiers
Medical identifiers for Mrs Lourdes Berlanga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922644079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | MT4299 (Florida) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CBHCM101389 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT4299 (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 Lourdes Berlanga allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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| Entity Name | Soul Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952020174
PECOS PAC ID: 0042650111
Enrollment ID: O20240507000282 |
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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 Lourdes Berlanga 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 |
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Mrs Lourdes Berlanga, LMFT
100 Court St Se Ste 105,
Live Oak, FL 32064-3203
Ph: (386) 209-8734 | Mrs Lourdes Berlanga, LMFT
11985 County Road 252,
Mc Alpin, FL 32062-3206
Ph: (786) 398-2112 |
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