Roxana P Cevallos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Miami, Florida. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Balanced Wellbeing Llc and her current practice location is
22790 Sw 112th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 235-2626.
Roxana P Cevallos is licensed to practice in Florida (license number 19181) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760822811.
Healthcare Provider's Profile
| Full Name | Roxana P Cevallos |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 22790 Sw 112th Ave, Miami, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Roxana P Cevallos graduated from medical school in 2013
NPI Data:
- NPI Number: 1760822811
- Provider Enumeration Date: 07/02/2013
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032506746
- Enrollment ID: I20220427003168
Medical Identifiers
Medical identifiers for Roxana P Cevallos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760822811 | NPI | - | NPPES |
| 114010100 | Medicaid | FL | |
| 116946500 | Other | FL | BEHAVIOR ANALYSIS PROVIDER |
| 19181 | Other | FL | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | SW19181 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 19181 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Balanced Wellbeing Llc | 5193021848 | 177 |
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. Roxana P Cevallos allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
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| Entity Name | Agape Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326191156 PECOS PAC ID: 5799817094 Enrollment ID: O20100722000425 |
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| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
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| Entity Name | Azure Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508459157 PECOS PAC ID: 6901205137 Enrollment ID: O20210520001422 |
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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. Roxana P Cevallos 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 |
Roxana P Cevallos, LCSW 7640 Sw 153rd Ct Apt 101, Miami, FL 33193-1794 Ph: () - | Roxana P Cevallos, LCSW 22790 Sw 112th Ave, Miami, FL 33170-7602 Ph: (305) 235-2626 |
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