Roxana P Cevallos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Miami, Florida. Her current practice location is
22790 Sw 112th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 235-2626.
Roxana P Cevallos is licensed to practice in Florida (license number 19181) 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 1760822811.
Healthcare Provider's Profile
| Full Name | Roxana P Cevallos |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 22790 Sw 112th Ave, 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: 1760822811
- Provider Enumeration Date: 07/02/2013
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032506746
- Enrollment ID: I20220427003168
Medical Identifiers
Medical identifiers for Roxana P Cevallos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760822811 | NPI | - | NPPES |
| 114010100 | Medicaid | FL | |
| 116946500 | Other | FL | BEHAVIOR ANALYSIS PROVIDER |
| 19181 | Other | FL | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW19181 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 19181 (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. Roxana P Cevallos allows following entities to bill medicare on her behalf.
| Entity Name | Agape Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326191156
PECOS PAC ID: 5799817094
Enrollment ID: O20100722000425 |
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| Entity Name | Florida Personal Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144797838
PECOS PAC ID: 5799101499
Enrollment ID: O20200812001069 |
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| Entity Name | Saludmax Medical Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376034561
PECOS PAC ID: 9032538392
Enrollment ID: O20201006001540 |
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| Entity Name | Golden Years Behavioral Center Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447859137
PECOS PAC ID: 1951706662
Enrollment ID: O20210818002915 |
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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. Roxana P Cevallos 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 |
|---|
Roxana P Cevallos, LCSW
7640 Sw 153rd Ct Apt 101,
Miami, FL 33193-1794
Ph: () - | Roxana P Cevallos, LCSW
22790 Sw 112th Ave,
Miami, FL 33170-7602
Ph: (305) 235-2626 |
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