Beacon Psychiatry, Llc | |
3610 Galileo Dr Ste 101 Trinity FL 34655-1794 | |
(727) 456-9135 | |
Not Available |
Full Name | Beacon Psychiatry, Llc |
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Speciality | Psychiatry & Neurology |
Location | 3610 Galileo Dr Ste 101, Trinity, Florida |
Authorized Official Name and Position | Linh Phuong Thi Dinh (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 7277935558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beacon Psychiatry, Llc 3610 Galileo Dr Ste 101 Trinity FL 34655-1794 Ph: (727) 456-9135 | Beacon Psychiatry, Llc 3610 Galileo Dr Ste 101 Trinity FL 34655-1794 Ph: (727) 456-9135 |
NPI Number | 1578140257 |
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Provider Enumeration Date | 03/27/2021 |
Last Update Date | 03/27/2021 |
Certification Date | 03/27/2021 |
Medicare PECOS PAC ID | 8022419647 |
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Medicare Enrollment ID | O20210702000134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578140257 | NPI | - | NPPES |
Provider Name | Linh Phuong T Dinh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083068175 PECOS PAC ID: 6800146093 Enrollment ID: I20180910001864 |
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