Autumn Blair Belahmer, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Melbourne, Florida. Her current practice location is
3040 N Wickham Rd Ste 5, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 405-2751.
Autumn Blair Belahmer is licensed to practice in Florida (license number SW19396) 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 1679232714.
Healthcare Provider's Profile
| Full Name | Autumn Blair Belahmer |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3040 N Wickham Rd Ste 5, Melbourne, 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: 1679232714
- Provider Enumeration Date: 12/16/2021
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486032059
- Enrollment ID: I20220610000022
Medical Identifiers
Medical identifiers for Autumn Blair Belahmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679232714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | ISW14276 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW19396 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW19396 (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. Autumn Blair Belahmer allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587 |
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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. Autumn Blair Belahmer 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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Autumn Blair Belahmer, LCSW
2649 Bradfordt Dr,
West Melbourne, FL 32904-7450
Ph: (321) 720-1598 | Autumn Blair Belahmer, LCSW
3040 N Wickham Rd Ste 5,
Melbourne, FL 32935-2369
Ph: (321) 405-2751 |
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