Miss Carol A Visconti, is a medicare enrolled "Counselor - Mental Health" provider in Fleming Island, Florida. Her current practice location is
1747 Baptist Clay Dr, Suite 350, Fleming Island, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 376-3800.
Miss Carol A Visconti is licensed to practice in Florida (license number MH13641) 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 1285868141.
Healthcare Provider's Profile
| Full Name | Miss Carol A Visconti |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1747 Baptist Clay Dr, Fleming Island, 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: 1285868141
- Provider Enumeration Date: 05/07/2009
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981054863
- Enrollment ID: I20231219002969
Medical Identifiers
Medical identifiers for Miss Carol A Visconti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285868141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH13641 (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. Miss Carol A Visconti allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767 |
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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. Miss Carol A Visconti 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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Miss Carol A Visconti,
Po Box 748519,
Atlanta, GA 30374-8519
Ph: (904) 376-3800 | Miss Carol A Visconti,
1747 Baptist Clay Dr, Suite 350,
Fleming Island, FL 32003-8502
Ph: (904) 376-3800 |
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