Dr Alicia Elisa Ayala Laconich, PHD IN PSYCHOLOGY is a medicare enrolled "Clinical Neuropsychologist" provider in Jacksonville, Florida. Her current practice location is
12574 Flagler Center Blvd, Ste 101, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 374-4276.
Dr Alicia Elisa Ayala Laconich is licensed to practice in Florida (license number PY10781) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376138495.
Healthcare Provider's Profile
| Full Name | Dr Alicia Elisa Ayala Laconich |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 12574 Flagler Center Blvd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Alicia Elisa Ayala Laconich attended and graduated from in
NPI Data:
- NPI Number: 1376138495
- Provider Enumeration Date: 03/02/2021
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Alicia Elisa Ayala Laconich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376138495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY10781 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY10781 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alicia Elisa Ayala Laconich is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alicia Elisa Ayala Laconich, PHD IN PSYCHOLOGY
12574 Flagler Center Blvd Ste 101,
Jacksonville, FL 32258-2615
Ph: () - | Dr Alicia Elisa Ayala Laconich, PHD IN PSYCHOLOGY
12574 Flagler Center Blvd, Ste 101,
Jacksonville, FL 32258-2615
Ph: (904) 374-4276 |
Reviews and Comments