| Ian Hugh Adon Rivera, LCSW, MCAP | |
|
1047 E Brandon Blvd, Brandon, FL 33511-5515 | |
| (414) 312-1010 | |
| Not Available |
| Full Name | Ian Hugh Adon Rivera |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 1047 E Brandon Blvd, Brandon, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164061040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW17093 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Life Inc | 8123433034 | 123 |
| Total Life Inc | 8123433034 | 123 |
| Total Life Inc | 8123433034 | 123 |
| Total Life Inc | 8123433034 | 123 |
| Total Life Inc | 8123433034 | 123 |
| Entity Name | Total Life Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20230609000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Hugh Adon Rivera, LCSW, MCAP 12745 Lemon Pepper Dr, Riverview, FL 33578-7585 Ph: (414) 312-1010 | Ian Hugh Adon Rivera, LCSW, MCAP 1047 E Brandon Blvd, Brandon, FL 33511-5515 Ph: (414) 312-1010 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Jacob Ramos, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 213, Brandon, FL 33511 Phone: 813-347-8483 | |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 | |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551 | |
Jakayla Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgewood Ave, Brandon, FL 33510 Phone: 813-816-1788 |