Dr Andres Feliciano Mambuca, PSYD, MS, LMHC is a medicare enrolled "Behavior Analyst" provider in Pembroke Pines, Florida. His current practice location is
1921 Nw 150th Ave Ste 104, Pembroke Pines, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 251-7005.
Dr Andres Feliciano Mambuca is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720352743.
Healthcare Provider's Profile
| Full Name | Dr Andres Feliciano Mambuca |
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| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 1921 Nw 150th Ave Ste 104, Pembroke Pines, 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: 1720352743
- Provider Enumeration Date: 03/08/2012
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537691894
- Enrollment ID: I20241011003232
Medical Identifiers
Medical identifiers for Dr Andres Feliciano Mambuca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720352743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 11089 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | 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. Dr Andres Feliciano Mambuca allows following entities to bill medicare on his behalf.
| Entity Name | Mental Health Institute Of Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699167403
PECOS PAC ID: 9133651490
Enrollment ID: O20241011002739 |
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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. Dr Andres Feliciano Mambuca 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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Dr Andres Feliciano Mambuca, PSYD, MS, LMHC
3311 Sw 195th Ter,
Miramar, FL 33029-5881
Ph: (954) 663-8086 | Dr Andres Feliciano Mambuca, PSYD, MS, LMHC
1921 Nw 150th Ave Ste 104,
Pembroke Pines, FL 33028-2872
Ph: (954) 251-7005 |
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