Alicia Anne Divico, LMHC in Tampa, FL - Medicare Counselor Provider

Alicia Anne Divico, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Tampa, Florida. Her current practice location is 550 N Reo St Ste 240, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 435-3060.

Alicia Anne Divico is licensed to practice in Florida (license number MH11494) 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 1013251180.

Contact Information

	Alicia Anne Divico, LMHC
	550 N Reo St Ste 240, Tampa, FL 33609-1062
	(813) 435-3060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Anne Divico
Gender	Female
Speciality	Counselor - Mental Health
Location	550 N Reo St Ste 240, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013251180
Provider Enumeration Date: 11/15/2012
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 2961848510
Enrollment ID: I20240306001915

Medical Identifiers

Medical identifiers for Alicia Anne Divico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013251180	NPI	-	NPPES
007383800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH11494 (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. Alicia Anne Divico allows following entities to bill medicare on her behalf.

Entity Name	Personal Wellness Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639851512 PECOS PAC ID: 3476999533 Enrollment ID: O20240312000111

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. Alicia Anne Divico 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
Alicia Anne Divico, LMHC 4511 N Himes Ave, Suite 200, Tampa, FL 33614-7074 Ph: (813) 546-0585	Alicia Anne Divico, LMHC 550 N Reo St Ste 240, Tampa, FL 33609-1062 Ph: (813) 435-3060

Reviews and Comments

Counselor in Tampa, FL

Dr. Matthew Paul Hill, PH.D., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6107 Memorial Hwy Ste E3, Tampa, FL 33615 Phone: 570-351-3193 Fax: 813-200-1253
Miss Leighann Schaffer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 N Dale Mabry Hwy Ste 164, Tampa, FL 33614 Phone: 813-443-4827
Melina Scally, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 2109 E Palm Ave Ste 201, Tampa, FL 33605 Phone: 813-360-0741
Dr. Jesse Daniel Collins, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15310 Amberly Dr Ste 250, Tampa, FL 33647 Phone: 813-376-6234
Betsy Rose Rodriguez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602 Phone: 754-300-8107
Trinawa Anigel Murrill, MSW, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8069 Fax: 813-231-7324
Maricarmen Cruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16506 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-773-2743

Alicia Anne Divico, LMHC - Medicare Counselor in Tampa, FL