Radically Open Dbt Tampa in Lutz, FL - Medicare Social Worker

Radically Open Dbt Tampa is a medicare enrolled mental health clinic (Social Worker - Clinical) in Lutz, Florida. The current practice location for Radically Open Dbt Tampa is 1341 Windsor Way, Lutz, Florida. For appointments, you can reach them via phone at (813) 602-2312. The mailing address for Radically Open Dbt Tampa is 2751 East County Line Rd, Pmb #300, Lutz, Florida and phone number is (813) 602-2312.

Radically Open Dbt Tampa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316567472. 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 (813) 602-2312.

Contact Information

	Radically Open Dbt Tampa
	1341 Windsor Way Lutz FL 33559-6742
	(813) 602-2312
	(813) 336-8506

Map and Direction

Mental Health Clinic Profile

Full Name	Radically Open Dbt Tampa
Speciality	Social Worker
Location	1341 Windsor Way, Lutz, Florida
Authorized Official Name and Position	Heidi A Ison-lustberg (OWNER)
Authorized Official Contact	8136022312
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Radically Open Dbt Tampa 2751 East County Line Rd Pmb #300 Lutz FL 33559-3439 Ph: (813) 602-2312	Radically Open Dbt Tampa 1341 Windsor Way Lutz FL 33559-6742 Ph: (813) 602-2312

NPI Details:

NPI Number	1316567472
Provider Enumeration Date	04/19/2020
Last Update Date	12/28/2024
Certification Date	12/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4981068145
Medicare Enrollment ID	O20230907000800

Medical Identifiers

Medical identifiers for Radically Open Dbt Tampa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316567472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (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. Radically Open Dbt Tampa acts as a billing entity for following providers:

Provider Name	Heidi A Ison
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1558687665 PECOS PAC ID: 3971634320 Enrollment ID: I20100628001123

Reviews and Comments

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Radically Open Dbt Tampa - Medicare Mental Health Clinic in Lutz, FL