Mobile Medical - Medicare Mental Health Clinic in Port St Lucie, FL

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Mobile Medical is a medicare enrolled mental health clinic (General Practice) in Port St Lucie, Florida. The current practice location for Mobile Medical is 1840 Se Port St Lucie Blvd Ste 1840, Port St Lucie, Florida. For appointments, you can reach them via phone at (772) 221-7620. The mailing address for Mobile Medical is 4655 Salisbury Rd Ste 110, Jacksonville, Florida and phone number is (904) 733-1003.

Mobile Medical is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245983022. 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 (772) 221-7620.

Contact Information

Mobile Medical
1840 Se Port St Lucie Blvd Ste 1840
Port St Lucie
FL 34952-5545
(772) 221-7620
(772) 221-9903

Map and Direction


Mental Health Clinic Profile

Full NameMobile Medical
SpecialityGeneral Practice
Location1840 Se Port St Lucie Blvd Ste 1840, Port St Lucie, Florida
Authorized Official Name and PositionRobert Young (SECRETARY & CAO)
Authorized Official Contact9047331003
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mobile Medical
4655 Salisbury Rd Ste 110
Jacksonville
FL 32256-0957

Ph: (904) 733-1003		Mobile Medical
1840 Se Port St Lucie Blvd Ste 1840
Port St Lucie
FL 34952-5545

Ph: (772) 221-7620

NPI Details:

NPI Number1245983022
Provider Enumeration Date02/01/2022
Last Update Date09/25/2024
Certification Date09/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1456747625
Medicare Enrollment IDO20220415001415

Medical Identifiers

Medical identifiers for Mobile Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245983022NPI-NPPES
117201700MedicaidFL
13404OtherFLAHCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mobile Medical acts as a billing entity for following providers:
Provider NameRenee O Slabicki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710085402
PECOS PAC ID: 9931202801
Enrollment ID: I20070314000082
Provider NameMichael Tracy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124054945
PECOS PAC ID: 0042359507
Enrollment ID: I20091123000651
Provider NameSean F Mcgrath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588624803
PECOS PAC ID: 8820137029
Enrollment ID: I20091201000488
Provider NameLaurie Grissman Mccuen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912099771
PECOS PAC ID: 1951436583
Enrollment ID: I20100320000212
Provider NameStephanie D Devaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861747149
PECOS PAC ID: 7315190014
Enrollment ID: I20130109000032
Provider NameDawn R Dust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730562760
PECOS PAC ID: 5991012213
Enrollment ID: I20150919000140
Provider NameHarolyn A Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023494051
PECOS PAC ID: 4284944919
Enrollment ID: I20151110001552
Provider NameDonna J Cothren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255703302
PECOS PAC ID: 0840592028
Enrollment ID: I20160105001498
Provider NameLeizel A Curl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053707679
PECOS PAC ID: 5597039206
Enrollment ID: I20170919003593
Provider NameLayla Z Tilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013430552
PECOS PAC ID: 1850653973
Enrollment ID: I20180329000343
Provider NameLeah Nicole Catullo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306313523
PECOS PAC ID: 8729325634
Enrollment ID: I20190131001184
Provider NameLindsay S Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992158182
PECOS PAC ID: 6406198829
Enrollment ID: I20190503000768
Provider NameNia Spicer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932706165
PECOS PAC ID: 1355751546
Enrollment ID: I20201028002664
Provider NameMeredith Leigh Templin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811599822
PECOS PAC ID: 4587076534
Enrollment ID: I20201215002755
Provider NameMichelle Gozar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811480437
PECOS PAC ID: 8224432299
Enrollment ID: I20210812002650
Provider NameYves Dehaut
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942888417
PECOS PAC ID: 2860899796
Enrollment ID: I20210920003507
Provider NameErisdanys Carballeda Puebla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811570328
PECOS PAC ID: 4688064660
Enrollment ID: I20211206002647
Provider NameBrandi Polite
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699447078
PECOS PAC ID: 2860883642
Enrollment ID: I20220105001958
Provider NameDeena Marie Lowery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104570092
PECOS PAC ID: 0042606196
Enrollment ID: I20220330000231
Provider NameRobert Jason Epperson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417690132
PECOS PAC ID: 6002293313
Enrollment ID: I20220506000069
Provider NameRegina Petty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669092888
PECOS PAC ID: 2961883756
Enrollment ID: I20220726001316
Provider NameColleen M Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295462083
PECOS PAC ID: 7911381421
Enrollment ID: I20220901001954
Provider NameNancy Haake Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093438152
PECOS PAC ID: 4981070323
Enrollment ID: I20221026001341
Provider NameDesiree A Dampier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295485860
PECOS PAC ID: 3274902309
Enrollment ID: I20221213001883
Provider NameEliette Odige
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386354678
PECOS PAC ID: 1658745112
Enrollment ID: I20230323001598
Provider NameJacquelyn Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013522473
PECOS PAC ID: 3173998812
Enrollment ID: I20230411000183
Provider NameCyndia Milord-giordani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598486912
PECOS PAC ID: 6305202862
Enrollment ID: I20230525002252
Provider NameYurgita Vaidya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578346318
PECOS PAC ID: 5799132098
Enrollment ID: I20231108001128
Provider NameEzecheil Madestin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710608344
PECOS PAC ID: 3375987886
Enrollment ID: I20240222003111
Provider NameMarissa Feo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003678293
PECOS PAC ID: 8527405232
Enrollment ID: I20240318000932

Reviews and Comments

General Practice in Port St Lucie, FL

Kris Parker & Associates
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1950 Se Port St Lucie Blvd, Suite 205, Port St Lucie, FL 34952
Phone: 772-224-2125    Fax: 772-224-2290
Florida Community Health Centers, Inc.
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 9576 S Us Highway 1, Port St Lucie, FL 34952
Phone: 561-844-9443    
Strive Health & Wellness Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952
Phone: 772-353-1410    Fax: 772-673-8134
Hca Florida St. Lucie Hospital
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952
Phone: 772-335-4000    Fax: 561-398-3608
Harmony House Recovery
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 810 Nw Greenwich Ct, Port St Lucie, FL 34983
Phone: 772-924-4163    
Global Behavioral Solutions
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 406 Se Cork Rd, Port St Lucie, FL 34984
Phone: 954-873-4039    
Mind & Body Counseling Institute
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1949 Sw Idaho Ln, Port St Lucie, FL 34953
Phone: 772-233-6295    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.