Live Oak Behavioral Health - Medicare Mental Health Clinic in Maitland, FL

Live Oak Behavioral Health is a medicare enrolled mental health clinic (Psychologist - Cognitive & Behavioral) in Maitland, Florida. The current practice location for Live Oak Behavioral Health is 341 N Maitland Ave Ste 120, Maitland, Florida. For appointments, you can reach them via phone at (407) 756-2084. The mailing address for Live Oak Behavioral Health is 341 N Maitland Ave Ste 120, Maitland, Florida and phone number is (407) 756-2084.

Live Oak Behavioral Health is licensed to practice in Florida (license number PY9901). The clinic also participates in the medicare program and its NPI number is 1508368192. 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 (407) 756-2084.

Contact Information

Live Oak Behavioral Health
341 N Maitland Ave Ste 120
Maitland
FL 32751-4761
(407) 756-2084
(866) 495-2994

Map and Direction


Mental Health Clinic Profile

Full NameLive Oak Behavioral Health
SpecialityPsychologist
Location341 N Maitland Ave Ste 120, Maitland, Florida
Authorized Official Name and PositionDaniel Paulson (CO-OWNER)
Authorized Official Contact4077562084
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Live Oak Behavioral Health
341 N Maitland Ave Ste 120
Maitland
FL 32751-4761

Ph: (407) 756-2084
Live Oak Behavioral Health
341 N Maitland Ave Ste 120
Maitland
FL 32751-4761

Ph: (407) 756-2084

NPI Details:

NPI Number1508368192
Provider Enumeration Date02/28/2018
Last Update Date10/05/2020
Certification Date10/05/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9032525969
Medicare Enrollment IDO20210301002205

Medical Identifiers

Medical identifiers for Live Oak Behavioral Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508368192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral PY9901 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Live Oak Behavioral Health acts as a billing entity for following providers:
Provider NameDaniel Lee Paulson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659883239
PECOS PAC ID: 0941616874
Enrollment ID: I20210301002400
Provider NameTracy Charisse Wharton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780103440
PECOS PAC ID: 5496155970
Enrollment ID: I20210621003023
Provider NameRobert D Dvorak
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437572534
PECOS PAC ID: 7416180179
Enrollment ID: I20210821000223

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.