Vip Senior Wellness Services Llc | |
10115 Vista Pointe Dr Tampa FL 33635-6329 | |
(718) 942-6595 | |
Not Available |
Full Name | Vip Senior Wellness Services Llc |
---|---|
Speciality | Psychologist |
Location | 10115 Vista Pointe Dr, Tampa, Florida |
Authorized Official Name and Position | Andrea Eschrich (OWNER) |
Authorized Official Contact | 7189426595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vip Senior Wellness Services Llc 10115 Vista Pointe Dr Tampa FL 33635-6329 Ph: (718) 942-6595 | Vip Senior Wellness Services Llc 10115 Vista Pointe Dr Tampa FL 33635-6329 Ph: (718) 942-6595 |
NPI Number | 1003512120 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 09/29/2023 |
Certification Date | 09/29/2023 |
Medicare PECOS PAC ID | 8820461874 |
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Medicare Enrollment ID | O20231025002329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003512120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Andrea Eschrich |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1245792001 PECOS PAC ID: 6800137951 Enrollment ID: I20231025002463 |
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