Dr Patricia Hernandez Poudevida, PSY D - Medicare Psychologist in Lutz, FL

Dr Patricia Hernandez Poudevida, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Lutz, Florida. Her current practice location is 19105 N Us Highway 41 Ste 300, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 400-0375.

Dr Patricia Hernandez Poudevida is licensed to practice in Florida (license number PY10546) 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 1740420405.

Contact Information

Dr Patricia Hernandez Poudevida, PSY D
19105 N Us Highway 41 Ste 300,
Lutz, FL 33549-4206
(813) 400-0375
(813) 616-6818

Map and Direction




Healthcare Provider's Profile

Full NameDr Patricia Hernandez Poudevida
GenderFemale
SpecialityPsychologist - Clinical
Location19105 N Us Highway 41 Ste 300, Lutz, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740420405
  • Provider Enumeration Date: 02/20/2009
  • Last Update Date: 03/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840644902
  • Enrollment ID: I20230925000836

Medical Identifiers

Medical identifiers for Dr Patricia Hernandez Poudevida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740420405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3239 (Puerto Rico)Secondary
103TC0700XPsychologist - Clinical PY10546 (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 Patricia Hernandez Poudevida allows following entities to bill medicare on her behalf.
Entity NameMothermind Psychology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992323778
PECOS PAC ID: 3476907536
Enrollment ID: O20230925000912

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 Patricia Hernandez Poudevida 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 AddressPractice Location Address
Dr Patricia Hernandez Poudevida, PSY D
19105 N Us Highway 41 Ste 300,
Lutz, FL 33549-4206

Ph: (813) 400-0375
Dr Patricia Hernandez Poudevida, PSY D
19105 N Us Highway 41 Ste 300,
Lutz, FL 33549-4206

Ph: (813) 400-0375

Reviews and Comments


Psychologist in Lutz, FL

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Phone: 979-255-4152    

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