Lifespan Medical Center Llc is a medicare enrolled "General Practice" provider in Miami, Florida. Their current practice location is
2742 Sw 8th St Ste 11, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(786) 615-5819.
Lifespan Medical Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lifespan Medical Center Llc
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 1427769561.
Healthcare Provider's Profile
| Full Name | Lifespan Medical Center Llc |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 2742 Sw 8th St Ste 11, Miami, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427769561
- Provider Enumeration Date: 12/09/2022
- Last Update Date: 12/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264804863
- Enrollment ID: O20230208000779
Medical Identifiers
Medical identifiers for Lifespan Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427769561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lifespan Medical Center Llc acts as a billing entity for following providers:
| Provider Name | Ileana Diaz |
|---|
| Provider Type | Practitioner - Internal Medicine |
|---|
| Provider Identifiers | NPI Number: 1073179693
PECOS PAC ID: 2567838501
Enrollment ID: I20221017002675 |
|---|
| Provider Name | Jesus Serret Navarro |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1508306788
PECOS PAC ID: 6507231156
Enrollment ID: I20230412001966 |
|---|
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. Lifespan Medical Center Llc 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 |
|---|
Lifespan Medical Center Llc
2742 Sw 8th St Ste 11,
Miami, FL 33135-4656
Ph: (786) 615-5819 | Lifespan Medical Center Llc
2742 Sw 8th St Ste 11,
Miami, FL 33135-4656
Ph: (786) 615-5819 |
Reviews and Comments