Dr Cristina Carolina Santiago, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Hollywood, Florida. Her current practice location is
1150 N 35th Ave Ste 520, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 265-2423.
Dr Cristina Carolina Santiago is licensed to practice in Florida (license number PY9963) 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 1629589833.
Healthcare Provider's Profile
| Full Name | Dr Cristina Carolina Santiago |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1150 N 35th Ave Ste 520, Hollywood, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629589833
- Provider Enumeration Date: 10/14/2017
- Last Update Date: 03/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426396904
- Enrollment ID: I20190207001114
Medical Identifiers
Medical identifiers for Dr Cristina Carolina Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629589833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 9963 (Florida) | Secondary |
| 103TH0004X | Psychologist - Health | 9963 (Florida) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PY9963 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY9963 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cristina Carolina Santiago allows following entities to bill medicare on her behalf.
| Entity Name | South Broward Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962706721
PECOS PAC ID: 8123927373
Enrollment ID: O20151026000222 |
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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 Cristina Carolina Santiago 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 |
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Dr Cristina Carolina Santiago, PSYD
2900 Corporate Way, Door D,
Miramar, FL 33025-3925
Ph: (954) 276-5685 | Dr Cristina Carolina Santiago, PSYD
1150 N 35th Ave Ste 520,
Hollywood, FL 33021-5431
Ph: (954) 265-2423 |
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