Mrs Kaiza C Canales, MRS is a medicare enrolled "Counselor - Mental Health" provider in Clermont, Florida. Her current practice location is
17410 Sr 50 Ste 130, Clermont, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 717-1305.
Mrs Kaiza C Canales is licensed to practice in Florida (license number MH21375) 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 1457469280.
Healthcare Provider's Profile
Full Name | Mrs Kaiza C Canales |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 17410 Sr 50 Ste 130, Clermont, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457469280
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880691575
- Enrollment ID: I20240113000454
Medical Identifiers
Medical identifiers for Mrs Kaiza C Canales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457469280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2049 (Puerto Rico) | Secondary |
101YM0800X | Counselor - Mental Health | MH21375 (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. Mrs Kaiza C Canales 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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Entity Name | Michelle Asencio Lmhc - Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669046033 PECOS PAC ID: 4981054293 Enrollment ID: O20231229000057 |
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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. Mrs Kaiza C Canales 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 |
Mrs Kaiza C Canales, MRS 5560 Keaton Springs Dr, Lakeland, FL 33811-1882 Ph: (787) 406-7509 | Mrs Kaiza C Canales, MRS 17410 Sr 50 Ste 130, Clermont, FL 34711-8188 Ph: (407) 717-1305 |
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