Dr Cecilia Theresa Deidan, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Pembroke Pines, Florida. Her current practice location is
18459 Pines Blvd, #324, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 266-8037.
Dr Cecilia Theresa Deidan is licensed to practice in Florida (license number PY0004983) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396757506.
Healthcare Provider's Profile
Full Name | Dr Cecilia Theresa Deidan |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 18459 Pines Blvd, Pembroke Pines, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396757506
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123196680
- Enrollment ID: I20101105001067
Medical Identifiers
Medical identifiers for Dr Cecilia Theresa Deidan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396757506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY0004983 (Florida) | Secondary |
103G00000X | Clinical Neuropsychologist | PY0004983 (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 Cecilia Theresa Deidan 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 Cecilia Theresa Deidan, PHD 18459 Pines Blvd, #324, Pembroke Pines, FL 33029-1400 Ph: (954) 266-8037 | Dr Cecilia Theresa Deidan, PHD 18459 Pines Blvd, #324, Pembroke Pines, FL 33029-1400 Ph: (954) 266-8037 |
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