Alia Khederoo, LMHC in Orlando, FL - Medicare Counselor Provider

Alia Khederoo, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. Her current practice location is 6000 Lake Ellenor Dr, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 613-5555.

Alia Khederoo is licensed to practice in Florida (license number MH22639) 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 1922408939.

Contact Information

	Alia Khederoo, LMHC
	6000 Lake Ellenor Dr, Orlando, FL 32809-4615
	(407) 613-5555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alia Khederoo
Gender	Female
Speciality	Counselor - Mental Health
Location	6000 Lake Ellenor Dr, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922408939
Provider Enumeration Date: 08/27/2014
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9032642400
Enrollment ID: I20241024001884

Medical Identifiers

Medical identifiers for Alia Khederoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922408939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH22639 (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. Alia Khederoo allows following entities to bill medicare on her behalf.

Entity Name	Wellness Mindset Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992573166 PECOS PAC ID: 6406387331 Enrollment ID: O20241003000266

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. Alia Khederoo 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
Alia Khederoo, LMHC 4575 Se Dixie Hwy, Stuart, FL 34997-6826 Ph: (855) 832-6727	Alia Khederoo, LMHC 6000 Lake Ellenor Dr, Orlando, FL 32809-4615 Ph: (407) 613-5555

Reviews and Comments

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Alia Khederoo, LMHC - Medicare Counselor in Orlando, FL