Susana Michelle Vazquez Nieves, PSYD is a medicare enrolled "Psychologist" provider in Palm Bay, Florida. Her current practice location is
5270 Babcock St Ne Ste 1, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 722-6301.
Susana Michelle Vazquez Nieves is licensed to practice in Florida (license number PY9861) 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 1083953434.
Healthcare Provider's Profile
| Full Name | Susana Michelle Vazquez Nieves |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 5270 Babcock St Ne Ste 1, Palm Bay, 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: 1083953434
- Provider Enumeration Date: 02/05/2013
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8820355613
- Enrollment ID: I20171204001280
Medical Identifiers
Medical identifiers for Susana Michelle Vazquez Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083953434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY9861 (Florida) | Primary |
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. Susana Michelle Vazquez Nieves 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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Susana Michelle Vazquez Nieves, PSYD
Po Box 1137,
Melbourne, FL 32902-1137
Ph: (321) 952-9696 | Susana Michelle Vazquez Nieves, PSYD
5270 Babcock St Ne Ste 1,
Palm Bay, FL 32905-4616
Ph: (321) 722-6301 |
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