Mayra Liz Lugo-gonzalez, in Tampa, FL - Medicare Psychologist Provider

Mayra Liz Lugo-gonzalez, is a medicare enrolled "Psychologist - Clinical" provider in Tampa, Florida. Her current practice location is 5510 N Hesperides St, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 467-6111.

Mayra Liz Lugo-gonzalez is licensed to practice in Florida (license number PY11197) 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 1255610531.

Contact Information

	Mayra Liz Lugo-gonzalez,
	5510 N Hesperides St, Tampa, FL 33614-5414
	(813) 467-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mayra Liz Lugo-gonzalez
Gender	Female
Speciality	Psychologist - Clinical
Location	5510 N Hesperides St, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255610531
Provider Enumeration Date: 08/04/2011
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3577956416
Enrollment ID: I20220217000017

Medical Identifiers

Medical identifiers for Mayra Liz Lugo-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255610531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3900 (Puerto Rico)	Secondary
103TC0700X	Psychologist - Clinical	PY11197 (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. Mayra Liz Lugo-gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Linda Berlin Psy D & Psychological Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467467266 PECOS PAC ID: 7517858285 Enrollment ID: O20040323000074

Entity Name	Thrive Behavioral Sciences- Orlando Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063979730 PECOS PAC ID: 9739420654 Enrollment ID: O20190402002627

Entity Name	Thrive Behavioral Sciences - South Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982205290 PECOS PAC ID: 1658789649 Enrollment ID: O20210412001308

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. Mayra Liz Lugo-gonzalez 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
Mayra Liz Lugo-gonzalez, 5510 N Hesperides St, Tampa, FL 33614-5414 Ph: (813) 467-6111	Mayra Liz Lugo-gonzalez, 5510 N Hesperides St, Tampa, FL 33614-5414 Ph: (813) 467-6111

Reviews and Comments

Psychologist in Tampa, FL

Dr. Vincent E. Parr, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5201 W Kennedy Blvd, Suite 615, Tampa, FL 33609 Phone: 813-235-4270 Fax: 813-319-5804
Rebecca Chermak, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5 Tampa General Cir Ste 410, Tampa, FL 33606 Phone: 813-844-7473
Ana Alonso, S.S.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629 Phone: 813-381-5200
Dr. Daniel Weitzner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd Fl 33612, Tampa, FL 33612 Phone: 813-972-2000
Lawrence Neal Pasman, PH.D., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14021 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-265-1934 Fax: 813-264-0589
Dr. Sara L. Sterling, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14502 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618 Phone: 813-963-5771 Fax: 866-371-3254
Dr. Olga O Skalkos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2701 W Busch Blvd, Suite 132, Tampa, FL 33618 Phone: 813-920-4811

Mayra Liz Lugo-gonzalez, - Medicare Psychologist in Tampa, FL