| Bayer Neurobehavioral Center, Pllc | |
|
3 Vine Ave Ne Fort Walton Beach FL 32548-5069 | |
| (850) 226-7666 | |
| (850) 266-7499 |
| Full Name | Bayer Neurobehavioral Center, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3 Vine Ave Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Zachary C Bayer (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8502267666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayer Neurobehavioral Center, Pllc 3 Vine Ave Ne Fort Walton Beach FL 32548-5069 Ph: (850) 226-7666 | Bayer Neurobehavioral Center, Pllc 3 Vine Ave Ne Fort Walton Beach FL 32548-5069 Ph: (850) 226-7666 |
| NPI Number | 1720470255 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 08/23/2016 |
| Medicare PECOS PAC ID | 4981922747 |
|---|---|
| Medicare Enrollment ID | O20150408001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY9214 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY9440 (Florida) | Secondary |
| Provider Name | Zachary C Bayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619296555 PECOS PAC ID: 6305163163 Enrollment ID: I20150408001138 |
| Provider Name | Corissa L Bayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790029783 PECOS PAC ID: 6406082064 Enrollment ID: I20160426001512 |
| Provider Name | Melissa M Schierholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164668281 PECOS PAC ID: 4385964519 Enrollment ID: I20190524000789 |
| Provider Name | Allison Brelia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265955074 PECOS PAC ID: 1759612088 Enrollment ID: I20191017000430 |
| Provider Name | Erica Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811637374 PECOS PAC ID: 4486012200 Enrollment ID: I20230626002723 |
| Provider Name | Kimberley Anne Hoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134322969 PECOS PAC ID: 3678918182 Enrollment ID: I20240223002663 |
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