Grettel Carballo, LMHC is a medicare enrolled "Behavior Analyst" provider in Hialeah, Florida. Her current practice location is
17302 Nw 63rd Pl, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 437-3710.
Grettel Carballo is licensed to practice in Florida (license number 1-24-76451) 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 1073185864.
Healthcare Provider's Profile
Full Name | Grettel Carballo |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 17302 Nw 63rd Pl, Hialeah, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073185864
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971941634
- Enrollment ID: I20240401002873
Medical Identifiers
Medical identifiers for Grettel Carballo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073185864 | NPI | - | NPPES |
MH19055 | Other | | LMHC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH19055 (Florida) | Secondary |
101Y00000X | Counselor | MH19055 (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-24-76451 (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. Grettel Carballo allows following entities to bill medicare on her behalf.
Entity Name | Brightdays Community Mental Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972140523 PECOS PAC ID: 1153717624 Enrollment ID: O20220408002388 |
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Entity Name | Blue Clinical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093590242 PECOS PAC ID: 1759736846 Enrollment ID: O20231010001296 |
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Entity Name | Spectrum Mental Health Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487435418 PECOS PAC ID: 7911438098 Enrollment ID: O20240930003330 |
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Entity Name | Revive Mental Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790521375 PECOS PAC ID: 1557893187 Enrollment ID: O20241021000920 |
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Entity Name | Gallardo Health Medical Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881429181 PECOS PAC ID: 1658804042 Enrollment ID: O20241023003501 |
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Entity Name | Jativa Quality Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326867409 PECOS PAC ID: 4284168782 Enrollment ID: O20241106001721 |
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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. Grettel Carballo 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 |
Grettel Carballo, LMHC 17302 Nw 63rd Pl, Hialeah, FL 33015-4468 Ph: (786) 437-3710 | Grettel Carballo, LMHC 17302 Nw 63rd Pl, Hialeah, FL 33015-4468 Ph: (786) 437-3710 |
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