Craft Behavioral Health, Llc - Medicare Mental Health Clinic in Jacksonville, FL

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Craft Behavioral Health, Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Jacksonville, Florida. The current practice location for Craft Behavioral Health, Llc is 10175 Fortune Pkwy, Suite #1106, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 379-5928. The mailing address for Craft Behavioral Health, Llc is 10175 Fortune Pkwy, Suite #1106, Jacksonville, Florida and phone number is (904) 379-5928.

Craft Behavioral Health, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639491632. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 379-5928.

Contact Information

Craft Behavioral Health, Llc
10175 Fortune Pkwy
Suite #1106
Jacksonville
FL 32256-6746
(904) 379-5928
(904) 379-5967

Map and Direction


Mental Health Clinic Profile

Full NameCraft Behavioral Health, Llc
SpecialityPsychiatry & Neurology
Location10175 Fortune Pkwy, Jacksonville, Florida
Authorized Official Name and PositionMohammad Farooque (PRESIDENT)
Authorized Official Contact9043795928
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Craft Behavioral Health, Llc
10175 Fortune Pkwy
Suite #1106
Jacksonville
FL 32256-6746

Ph: (904) 379-5928		Craft Behavioral Health, Llc
10175 Fortune Pkwy
Suite #1106
Jacksonville
FL 32256-6746

Ph: (904) 379-5928

NPI Details:

NPI Number1639491632
Provider Enumeration Date02/18/2010
Last Update Date07/21/2011

Medicare PECOS Information:

Medicare PECOS PAC ID8729115043
Medicare Enrollment IDO20100419000456

Medical Identifiers

Medical identifiers for Craft Behavioral Health, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639491632NPI-NPPES
1455POtherFLBC/BS OF FL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (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. Craft Behavioral Health, Llc acts as a billing entity for following providers:
Provider NameMohammad Farooque
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730100587
PECOS PAC ID: 8729132451
Enrollment ID: I20090814000547
Provider NameElizabeth A Campbell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215283536
PECOS PAC ID: 3476703588
Enrollment ID: I20121026000291

Reviews and Comments

Psychiatry & Neurology in Jacksonville, FL

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.