| Vip Senior Wellness Services Llc | |
|
10115 Vista Pointe Dr Tampa FL 33635-6329 | |
| (718) 942-6595 | |
| Not Available |
| Full Name | Vip Senior Wellness Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10115 Vista Pointe Dr, Tampa, Florida |
| Authorized Official Name and Position | Andrea Eschrich (OWNER) |
| Authorized Official Contact | 7189426595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Senior Wellness Services Llc 10115 Vista Pointe Dr Tampa FL 33635-6329 Ph: (718) 942-6595 | Vip Senior Wellness Services Llc 10115 Vista Pointe Dr Tampa FL 33635-6329 Ph: (718) 942-6595 |
| NPI Number | 1003512120 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 8820461874 |
|---|---|
| Medicare Enrollment ID | O20231025002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003512120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea Eschrich |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1245792001 PECOS PAC ID: 6800137951 Enrollment ID: I20231025002463 |
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