Florida Complete Wellness, Inc. is a medicare enrolled "Clinic/center - Multi-specialty" provider in Hialeah Gardens, Florida. Their current practice location is
3408 W 84th St Ste 309, Hialeah Gardens, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 765-6505.
Florida Complete Wellness, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Florida Complete Wellness, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164448197.
Healthcare Provider's Profile
| Full Name | Florida Complete Wellness, Inc. |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 3408 W 84th St Ste 309, Hialeah Gardens, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164448197
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880017375
- Enrollment ID: O20231011000591
Medical Identifiers
Medical identifiers for Florida Complete Wellness, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164448197 | NPI | - | NPPES |
| 108300200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Florida Complete Wellness, Inc. acts as a billing entity for following providers:
| Provider Name | Beatriz Gutierrez |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1831757400
PECOS PAC ID: 7517324569
Enrollment ID: I20230606002371 |
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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. Florida Complete Wellness, Inc. 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 |
|---|
Florida Complete Wellness, Inc.
3408 W 84th St Ste 309,
Hialeah Gardens, FL 33018-4944
Ph: (954) 765-6505 | Florida Complete Wellness, Inc.
3408 W 84th St Ste 309,
Hialeah Gardens, FL 33018-4944
Ph: (954) 765-6505 |
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