Mr Brian Gerard Celso, PHD | |
1317 Oak St, Suite 200, Melbourne, FL 32901-3153 | |
(321) 434-1401 | |
(321) 434-8939 |
Full Name | Mr Brian Gerard Celso |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 26 Years |
Location | 1317 Oak St, Melbourne, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235102732 | NPI | - | NPPES |
001905600 | Medicaid | FL | |
268322647A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY6042 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20051221000986 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Gerard Celso, PHD Po Box 44008, Ufjp Holmes Trauma, Jacksonville, FL 32231-4008 Ph: (904) 244-3660 | Mr Brian Gerard Celso, PHD 1317 Oak St, Suite 200, Melbourne, FL 32901-3153 Ph: (321) 434-1401 |
Chad Breznay, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Sheila Ponce, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, Melbourne, FL 32904 Phone: 321-952-6000 | |
Dr. Krista Puente Trefz, PSY,D, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-242-3110 Fax: 321-242-7464 | |
Dr. Camellia Ann Westwell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Melbourne, FL 32940 Phone: 321-637-3788 | |
Kristopher J Olsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940 Phone: 321-751-1925 Fax: 321-751-9261 | |
Jeffrey Michael Williamson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 N Harbor City Blvd, Ste 1d, Melbourne, FL 32935 Phone: 321-610-4703 Fax: 321-622-5948 | |
Dr. Wanda Louise Bethea, Psychologist Medicare: Medicare Enrolled Practice Location: 405 E Strawbridge Ave, Melbourne, FL 32901 Phone: 321-724-6177 |