Memorial Division Of Child/adolescent Psychiatry - Medicare Mental Health Clinic in Hollywood, FL

Memorial Division Of Child/adolescent Psychiatry is a medicare enrolled mental health clinic (Psychiatry & Neurology - Child & Adolescent Psychiatry) in Hollywood, Florida. The current practice location for Memorial Division Of Child/adolescent Psychiatry is 3440 Hollywood Blvd Ste 360, Hollywood, Florida. For appointments, you can reach them via phone at (954) 276-9200. The mailing address for Memorial Division Of Child/adolescent Psychiatry is 2900 Corporate Way, Mpg Door D, Miramar, Florida and phone number is (954) 276-3254.

Memorial Division Of Child/adolescent Psychiatry is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336504075. 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 (954) 276-9200.

Contact Information

Memorial Division Of Child/adolescent Psychiatry
3440 Hollywood Blvd Ste 360
Hollywood
FL 33021-6934
(954) 276-9200
(954) 275-0733

Map and Direction


Mental Health Clinic Profile

Full NameMemorial Division Of Child/adolescent Psychiatry
SpecialityPsychiatry & Neurology
Location3440 Hollywood Blvd Ste 360, Hollywood, Florida
Authorized Official Name and PositionEsther Surujon (CFO MPG, MPC AND UCC)
Authorized Official Contact9542656677
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Memorial Division Of Child/adolescent Psychiatry
2900 Corporate Way
Mpg Door D
Miramar
FL 33025-3925

Ph: (954) 276-3254
Memorial Division Of Child/adolescent Psychiatry
3440 Hollywood Blvd Ste 360
Hollywood
FL 33021-6934

Ph: (954) 276-9200

NPI Details:

NPI Number1336504075
Provider Enumeration Date12/23/2015
Last Update Date07/12/2023
Certification Date07/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8123927373
Medicare Enrollment IDO20160525000574

Medical Identifiers

Medical identifiers for Memorial Division Of Child/adolescent Psychiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336504075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent 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. Memorial Division Of Child/adolescent Psychiatry acts as a billing entity for following providers:
Provider NameSilvia Fernandez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740447358
PECOS PAC ID: 4486726445
Enrollment ID: I20111101000325
Provider NameDavid M Rube
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083740484
PECOS PAC ID: 3577852912
Enrollment ID: I20160525000686
Provider NameCeline A Hamilton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801000971
PECOS PAC ID: 9537345236
Enrollment ID: I20190225001843
Provider NameBrian G Leduc
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1346565736
PECOS PAC ID: 2567696016
Enrollment ID: I20220104001538
Provider NameMaria Atkinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477193951
PECOS PAC ID: 7012378755
Enrollment ID: I20230727004140

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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.