Premium Healthcare Holdings, Lllp - Medicare Mental Health Clinic in Miami, FL

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Premium Healthcare Holdings, Lllp is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Miami, Florida. The current practice location for Premium Healthcare Holdings, Lllp is 2400 Sw 69th Ave, Miami, Florida. For appointments, you can reach them via phone at (305) 265-4441. The mailing address for Premium Healthcare Holdings, Lllp is 7371 Sw 24th St, Miami, Florida and phone number is () -.

Premium Healthcare Holdings, Lllp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518587203. 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 (305) 265-4441.

Contact Information

Premium Healthcare Holdings, Lllp
2400 Sw 69th Ave
Miami
FL 33155-1706
(305) 265-4441
(305) 265-4844

Map and Direction


Mental Health Clinic Profile

Full NamePremium Healthcare Holdings, Lllp
SpecialityClinic/Center
Location2400 Sw 69th Ave, Miami, Florida
Authorized Official Name and PositionKeila Hoover (OWNER)
Authorized Official Contact3054580211
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Premium Healthcare Holdings, Lllp
7371 Sw 24th St
Miami
FL 33155-1402

Ph: () -		Premium Healthcare Holdings, Lllp
2400 Sw 69th Ave
Miami
FL 33155-1706

Ph: (305) 265-4441

NPI Details:

NPI Number1518587203
Provider Enumeration Date04/22/2020
Last Update Date05/10/2023
Certification Date05/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7315320207
Medicare Enrollment IDO20220809004021

Medical Identifiers

Medical identifiers for Premium Healthcare Holdings, Lllp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518587203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Premium Healthcare Holdings, Lllp acts as a billing entity for following providers:
Provider NameOctavio J Carreno
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1629039409
PECOS PAC ID: 1456341361
Enrollment ID: I20040513000835
Provider NameGeorge Daniel Yatzkan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1457308744
PECOS PAC ID: 0042293672
Enrollment ID: I20040612000352
Provider NameEmilio E Castaneda
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1194858746
PECOS PAC ID: 2365421930
Enrollment ID: I20040716000667
Provider NameJavier Perez Fernandez
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1659367696
PECOS PAC ID: 6901865161
Enrollment ID: I20041005000443
Provider NameJose C Martin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861429425
PECOS PAC ID: 9931151768
Enrollment ID: I20050221000080
Provider NameElie R Haddad
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1740242361
PECOS PAC ID: 4981635315
Enrollment ID: I20050825000782
Provider NameKeila Hoover
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417909375
PECOS PAC ID: 6709809247
Enrollment ID: I20060110000964
Provider NameNarciso L Gomez
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1710178116
PECOS PAC ID: 7113099615
Enrollment ID: I20080627000348
Provider NameCarlos Perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528225638
PECOS PAC ID: 3577757657
Enrollment ID: I20101102001382
Provider NameCurtis L Anderson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1245410687
PECOS PAC ID: 4688815277
Enrollment ID: I20130724000439
Provider NameThomas D Riley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558681817
PECOS PAC ID: 9133368590
Enrollment ID: I20151118002568
Provider NameBamidele O Olupona
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548502867
PECOS PAC ID: 8224322409
Enrollment ID: I20160810002841
Provider NameQuoc Bao Nhu Dang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881932895
PECOS PAC ID: 6800165390
Enrollment ID: I20190222000293
Provider NameEmilio Antonio Perez Power
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1598114811
PECOS PAC ID: 1557654092
Enrollment ID: I20190912000168
Provider NameBrian Villa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861843906
PECOS PAC ID: 2769812833
Enrollment ID: I20200414002044
Provider NameAdam Michael De Fazio
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1366839573
PECOS PAC ID: 7810291671
Enrollment ID: I20200730003169
Provider NameJose Luis Vilaro Valderrabano
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1093127631
PECOS PAC ID: 6406192822
Enrollment ID: I20200811003251
Provider NameElvira J Rives
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619900610
PECOS PAC ID: 6204272511
Enrollment ID: I20240308002594
Provider NameNicholas George Kaknes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740556471
PECOS PAC ID: 7618320284
Enrollment ID: I20240314001799

Reviews and Comments

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Phone: 305-751-4342    Fax: 305-759-2763
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Phone: 786-406-4933    
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Medicare: Not Enrolled in Medicare
Practice Location: 2926 Sw 145th Ave, Miami, FL 33175
Phone: 305-301-1856    
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Phone: 305-733-9005    

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.