| Ameri Mindcare Pa | |
|
3389 W Vine St Suite 304 Kissimmee FL 34741-4665 | |
| (407) 932-2799 | |
| (407) 932-0303 |
| Full Name | Ameri Mindcare Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3389 W Vine St, Kissimmee, Florida |
| Authorized Official Name and Position | Ramarao Makkena (PSYCHIATRIST) |
| Authorized Official Contact | 4079322799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ameri Mindcare Pa 3389 W Vine St Suite 304 Kissimmee FL 34741-4665 Ph: (407) 932-2799 | Ameri Mindcare Pa 3389 W Vine St Suite 304 Kissimmee FL 34741-4665 Ph: (407) 932-2799 |
| NPI Number | 1215193859 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 10/31/2013 |
| Medicare PECOS PAC ID | 7911049614 |
|---|---|
| Medicare Enrollment ID | O20100119000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215193859 | NPI | - | NPPES |
| 38008 | Other | FL | BCBS |
| 009151600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME93520 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME93520 (Florida) | Secondary |
| Provider Name | Krishna Uppu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265567325 PECOS PAC ID: 1052365608 Enrollment ID: I20050308000340 |
| Provider Name | Ramarao Makkena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528035730 PECOS PAC ID: 6103719851 Enrollment ID: I20060203000134 |
| Provider Name | Cora T Yoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285065615 PECOS PAC ID: 9537485057 Enrollment ID: I20190516000802 |
| Provider Name | Rebeca Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962098095 PECOS PAC ID: 5799190823 Enrollment ID: I20210223000213 |
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