| Clear As A Bell Psychiatric Providers, Inc | |
|
1007 Pathfinder Way Ste 120 Rockledge FL 32955-3243 | |
| (321) 507-4033 | |
| Not Available |
| Full Name | Clear As A Bell Psychiatric Providers, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1007 Pathfinder Way Ste 120, Rockledge, Florida |
| Authorized Official Name and Position | Mayra Abelleira Martinez (PARTNER) |
| Authorized Official Contact | 3213751118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear As A Bell Psychiatric Providers, Inc 1007 Pathfinder Way Ste 120 Rockledge FL 32955-3243 Ph: (321) 507-4033 | Clear As A Bell Psychiatric Providers, Inc 1007 Pathfinder Way Ste 120 Rockledge FL 32955-3243 Ph: (321) 507-4033 |
| NPI Number | 1053191056 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 8729436464 |
|---|---|
| Medicare Enrollment ID | O20231120000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191056 | NPI | - | NPPES |
| Provider Name | Mayra Alexandra Abelleira Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669819983 PECOS PAC ID: 4486907748 Enrollment ID: I20181210003044 |
| Provider Name | Kelly E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144793407 PECOS PAC ID: 7113264482 Enrollment ID: I20190124000600 |
| Provider Name | Randall Gary Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710614318 PECOS PAC ID: 3274971791 Enrollment ID: I20240607000016 |
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