Ms Marta C Carmona, LMHC is a medicare enrolled "Psychologist" provider in Fort Myers, Florida. Her current practice location is
12550 New Brittany Blvd Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 343-9180.
Ms Marta C Carmona is licensed to practice in Florida (license number PY9001) 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 1508086539.
Healthcare Provider's Profile
| Full Name | Ms Marta C Carmona |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 12550 New Brittany Blvd Ste 100, Fort Myers, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1508086539
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890769566
- Enrollment ID: I20160315002820
Medical Identifiers
Medical identifiers for Ms Marta C Carmona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508086539 | NPI | - | NPPES |
| 117866700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH5439 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY9001 (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. Ms Marta C Carmona allows following entities to bill medicare on her behalf.
| Entity Name | Lee Memorial Health System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604 |
|---|
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. Ms Marta C Carmona 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 |
|---|
Ms Marta C Carmona, LMHC
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-9180 | Ms Marta C Carmona, LMHC
12550 New Brittany Blvd Ste 100,
Fort Myers, FL 33907-3655
Ph: (239) 343-9180 |
Reviews and Comments