| Pivoting Minds Psychiatry | |
|
11968 Balm Riverview Rd Riverview FL 33569-6601 | |
| (813) 819-3335 | |
| (866) 885-1512 |
| Full Name | Pivoting Minds Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11968 Balm Riverview Rd, Riverview, Florida |
| Authorized Official Name and Position | Trevon Jarrod Friar (OWNER) |
| Authorized Official Contact | 3862990045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivoting Minds Psychiatry 11412 Acacia Grove Ln Riverview FL 33579-8412 Ph: (386) 299-0045 | Pivoting Minds Psychiatry 11968 Balm Riverview Rd Riverview FL 33569-6601 Ph: (813) 819-3335 |
| NPI Number | 1740947928 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2860885696 |
|---|---|
| Medicare Enrollment ID | O20220131001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740947928 | NPI | - | NPPES |
| 112746000 | Medicaid | FL |
| Provider Name | Nina Marie Gagnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689219990 PECOS PAC ID: 2567899123 Enrollment ID: I20200221000525 |
| Provider Name | Trevon Jarrod Friar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291726 PECOS PAC ID: 8921423971 Enrollment ID: I20200807000429 |
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