Yulissa Fundora, LMHC, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Pembroke Pines, Florida. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Dr. Anele Diaz And Associates, Pa and her current practice location is
11529 Sw 13th Ct, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 378-0556.
Yulissa Fundora is licensed to practice in Florida (license number PY10407) 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 1831419340.
Healthcare Provider's Profile
Full Name | Yulissa Fundora |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 11 Years |
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Location | 11529 Sw 13th Ct, Pembroke Pines, 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:
- Yulissa Fundora graduated from medical school in 2013
NPI Data:
- NPI Number: 1831419340
- Provider Enumeration Date: 06/07/2010
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486086675
- Enrollment ID: I20191108000746
Medical Identifiers
Medical identifiers for Yulissa Fundora such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831419340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH11719 (Florida) | Secondary |
103TC0700X | Psychologist - Clinical | PY10407 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dr. Anele Diaz And Associates, Pa | 4880973205 | 2 |
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. Yulissa Fundora allows following entities to bill medicare on her behalf.
Entity Name | Dr. Anele Diaz & Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396177382 PECOS PAC ID: 4880973205 Enrollment ID: O20161108000173 |
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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. Yulissa Fundora 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 |
Yulissa Fundora, LMHC, PSYD 11529 Sw 13th Ct, Pembroke Pines, FL 33025-4811 Ph: (786) 378-0556 | Yulissa Fundora, LMHC, PSYD 11529 Sw 13th Ct, Pembroke Pines, FL 33025-4811 Ph: (786) 378-0556 |
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