Irisdomar Santiago Molina, LMHC is a medicare enrolled "Counselor - Professional" provider in Laredo, Texas. Her current practice location is
1500 Pappas St, Laredo, Texas. You can reach out to her office (for appointments etc.) via phone at
(956) 794-3000.
Irisdomar Santiago Molina is licensed to practice in Texas (license number 97146) 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 1770936346.
Healthcare Provider's Profile
| Full Name | Irisdomar Santiago Molina |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 1500 Pappas St, Laredo, Texas |
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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: 1770936346
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749721637
- Enrollment ID: I20240918004094
Medical Identifiers
Medical identifiers for Irisdomar Santiago Molina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770936346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 4770 (Puerto Rico) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH20222 (Florida) | Secondary |
| 101YP2500X | Counselor - Professional | 97146 (Texas) | 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. Irisdomar Santiago Molina allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Irisdomar Santiago Molina 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 |
|---|
Irisdomar Santiago Molina, LMHC
3203 Zander Dr Apt 102,
Kissimmee, FL 34747-1178
Ph: (407) 300-6548 | Irisdomar Santiago Molina, LMHC
1500 Pappas St,
Laredo, TX 78041-1701
Ph: (956) 794-3000 |
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