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

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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 NameMayra Liz Lugo-gonzalez
GenderFemale
SpecialityPsychologist - Clinical
Location5510 N Hesperides St, Tampa, Florida
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1255610531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 3900 (Puerto Rico)Secondary
103TC0700XPsychologist - 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 NameLinda Berlin Psy D & Psychological Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467467266
PECOS PAC ID: 7517858285
Enrollment ID: O20040323000074
Entity NameThrive Behavioral Sciences- Orlando Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063979730
PECOS PAC ID: 9739420654
Enrollment ID: O20190402002627
Entity NameThrive Behavioral Sciences - South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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