<unavail> in North Port, FL - Medicare Community/Behavioral Health

is a medicare enrolled mental health clinic (Community/behavioral Health) in North Port, Florida. The current practice location for is 2571 N Toledo Blade Blvd, North Port, Florida. For appointments, you can reach them via phone at (941) 685-8654. The mailing address for is Po Box 6728, North Port, Florida and phone number is (941) 685-8654.

is licensed to practice in Florida (license number MH9594). The clinic also participates in the medicare program and its NPI number is 1023317138. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (941) 685-8654.

Contact Information


	2571 N Toledo Blade Blvd North Port FL 34289-9351
	(941) 685-8654
	(941) 876-3452

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Community/Behavioral Health
Location	2571 N Toledo Blade Blvd, North Port, Florida
Authorized Official Name and Position	D. Paul Rodriguez (OWNER)
Authorized Official Contact	9415648734
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 6728 North Port FL 34290-6728 Ph: (941) 685-8654	2571 N Toledo Blade Blvd North Port FL 34289-9351 Ph: (941) 685-8654

NPI Details:

NPI Number	1023317138
Provider Enumeration Date	03/16/2011
Last Update Date	04/02/2024
Certification Date	04/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	9335680313
Medicare Enrollment ID	O20240917004771

Medical Identifiers

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

Identifier	Type	State	Issuer
1023317138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	MH9594 (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. acts as a billing entity for following providers:

Provider Name	D. Paul Rodriguez
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1417063546 PECOS PAC ID: 0244771228 Enrollment ID: I20240917004812

Reviews and Comments

Community/Behavioral Health in North Port, FL

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- Medicare Mental Health Clinic in North Port, FL