Enhanced Lifestyle Senior Healthcare Llc - Medicare Mental Health Clinic in Lakeland, FL

Enhanced Lifestyle Senior Healthcare Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Lakeland, Florida. The current practice location for Enhanced Lifestyle Senior Healthcare Llc is 2125 Harden Blvd, Lakeland, Florida. For appointments, you can reach them via phone at (863) 222-4060. The mailing address for Enhanced Lifestyle Senior Healthcare Llc is 2125 Harden Blvd, Lakeland, Florida and phone number is () -.

Enhanced Lifestyle Senior Healthcare Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902558406. 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 (863) 222-4060.

Contact Information

Enhanced Lifestyle Senior Healthcare Llc
2125 Harden Blvd
Lakeland
FL 33803-5918
(863) 222-4060
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameEnhanced Lifestyle Senior Healthcare Llc
SpecialityClinic/Center
Location2125 Harden Blvd, Lakeland, Florida
Authorized Official Name and PositionDavid Gonzalez (OWNER)
Authorized Official Contact8134536179
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enhanced Lifestyle Senior Healthcare Llc
2125 Harden Blvd
Lakeland
FL 33803-5918

Ph: () -
Enhanced Lifestyle Senior Healthcare Llc
2125 Harden Blvd
Lakeland
FL 33803-5918

Ph: (863) 222-4060

NPI Details:

NPI Number1902558406
Provider Enumeration Date01/25/2022
Last Update Date05/06/2022
Certification Date05/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5890175673
Medicare Enrollment IDO20220711002700

Medical Identifiers

Medical identifiers for Enhanced Lifestyle Senior Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902558406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Enhanced Lifestyle Senior Healthcare Llc acts as a billing entity for following providers:
Provider NameMario Jorge Gonzalez Fernandez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427479310
PECOS PAC ID: 5597055657
Enrollment ID: I20160601001388

Reviews and Comments

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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.