Alexandra Vaganova, LMFT in Fort Lauderdale, FL - Medicare Marriage & Family Therapist Provider

Alexandra Vaganova, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fort Lauderdale, Florida. Her current practice location is 2699 Stirling Rd Ste C403a, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 999-2320.

Alexandra Vaganova is licensed to practice in Florida (license number MT3951) 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 1982290045.

Contact Information

	Alexandra Vaganova, LMFT
	2699 Stirling Rd Ste C403a, Fort Lauderdale, FL 33312-6564
	(954) 999-2320
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandra Vaganova
Gender	Female
Speciality	Marriage & Family Therapist
Location	2699 Stirling Rd Ste C403a, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982290045
Provider Enumeration Date: 12/14/2020
Last Update Date: 01/08/2021

Medicare PECOS Information:

PECOS PAC ID: 1355790726
Enrollment ID: I20231211002567

Medical Identifiers

Medical identifiers for Alexandra Vaganova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982290045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MT3951 (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. Alexandra Vaganova allows following entities to bill medicare on her behalf.

Entity Name	Serenity Space Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801484407 PECOS PAC ID: 0446609812 Enrollment ID: O20231211001154

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. Alexandra Vaganova 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
Alexandra Vaganova, LMFT 2699 Stirling Rd Ste C403a, Fort Lauderdale, FL 33312-6564 Ph: (954) 999-2320	Alexandra Vaganova, LMFT 2699 Stirling Rd Ste C403a, Fort Lauderdale, FL 33312-6564 Ph: (954) 999-2320

Reviews and Comments

Marriage & Family Therapist in Fort Lauderdale, FL

Lauryn Salassi Gilliam, MS, PHD CANDIDATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3471 N Federal Hwy, #410, Fort Lauderdale, FL 33306 Phone: 305-725-0070
Ms. Amanda Joy Dukhie, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1527 Ne 4th Ave, Fort Lauderdale, FL 33304 Phone: 301-859-0640
Sophia Pandey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2601 E Oakland Park Blvd, Fort Lauderdale, FL 33306 Phone: 954-342-0982
Mr. Jesse Mozeko, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4832 Ne 25th Ave, Fort Lauderdale, FL 33308 Phone: 610-562-8652
Tiffany Lockhart, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1527 Ne 4th Ave, Fort Lauderdale, FL 33304 Phone: 954-835-5741
Benjamin Parrish Zeiger, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6289 Bay Club Dr Apt 4, Fort Lauderdale, FL 33308 Phone: 724-674-2468
Daisha Vargas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1726 Se 3rd Ave, Fort Lauderdale, FL 33316 Phone: 954-522-4749

Alexandra Vaganova, LMFT - Medicare Couples Therapy in Fort Lauderdale, FL