Rose Mary Lagravere, LMHC is a medicare enrolled "Behavior Analyst" provider in Miami, Florida. Her current practice location is
12469 Sw 124th St, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 486-6279.
Rose Mary Lagravere is licensed to practice in * (Not Available) (license number ) 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 1831314483.
Healthcare Provider's Profile
| Full Name | Rose Mary Lagravere |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 12469 Sw 124th 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: 1831314483
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981148921
- Enrollment ID: I20240701002381
Medical Identifiers
Medical identifiers for Rose Mary Lagravere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831314483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | MH8694 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | 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. Rose Mary Lagravere 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 | Advanced Client Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245788181
PECOS PAC ID: 4587105101
Enrollment ID: O20240924000582 |
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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. Rose Mary Lagravere 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 |
|---|
Rose Mary Lagravere, LMHC
12469 Sw 124th St,
Miami, FL 33186-9015
Ph: (786) 486-6279 | Rose Mary Lagravere, LMHC
12469 Sw 124th St,
Miami, FL 33186-9015
Ph: (786) 486-6279 |
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