Sofia Isabel Ricardo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Miami, Florida. Her current practice location is
6226 Sw 10th St, West Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(504) 451-0025.
Sofia Isabel Ricardo is licensed to practice in Florida (license number PY12108) 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 1659148153.
Healthcare Provider's Profile
| Full Name | Sofia Isabel Ricardo |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 6226 Sw 10th St, West Miami, 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: 1659148153
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355788951
- Enrollment ID: I20240319000636
Medical Identifiers
Medical identifiers for Sofia Isabel Ricardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659148153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY12108 (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. Sofia Isabel Ricardo allows following entities to bill medicare on her behalf.
| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043395460
PECOS PAC ID: 8628981925
Enrollment ID: O20031117000037 |
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| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063417483
PECOS PAC ID: 8628981925
Enrollment ID: O20031217000574 |
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| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134384423
PECOS PAC ID: 0244380434
Enrollment ID: O20090610000019 |
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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. Sofia Isabel Ricardo 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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Sofia Isabel Ricardo, PSYD
6226 Sw 10th St,
West Miami, FL 33144-4902
Ph: () - | Sofia Isabel Ricardo, PSYD
6226 Sw 10th St,
West Miami, FL 33144-4902
Ph: (504) 451-0025 |
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