Memorial Division Of Neurology - Medicare Mental Health Clinic in Hollywood, FL

Memorial Division Of Neurology is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Hollywood, Florida. The current practice location for Memorial Division Of Neurology is 1150 N 35th Ave Ste 590, Hollywood, Florida. For appointments, you can reach them via phone at (954) 265-9500. The mailing address for Memorial Division Of Neurology is 2900 Corporate Way, Mpg Door D, Miramar, Florida and phone number is (954) 276-5685.

Memorial Division Of Neurology is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700216496. 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) 265-9500.

Contact Information

Memorial Division Of Neurology
1150 N 35th Ave Ste 590
Hollywood
FL 33021-5468
(954) 265-9500
(954) 265-1431

Map and Direction


Mental Health Clinic Profile

Full NameMemorial Division Of Neurology
SpecialityPsychiatry & Neurology
Location1150 N 35th Ave Ste 590, Hollywood, Florida
Authorized Official Name and PositionEsther Surujon (CFO MPG, MPC & 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 Neurology
2900 Corporate Way
Mpg Door D
Miramar
FL 33025-3925

Ph: (954) 276-5685
Memorial Division Of Neurology
1150 N 35th Ave Ste 590
Hollywood
FL 33021-5468

Ph: (954) 265-9500

NPI Details:

NPI Number1700216496
Provider Enumeration Date11/18/2013
Last Update Date03/29/2024
Certification Date03/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8123927373
Medicare Enrollment IDO20140321000652

Medical Identifiers

Medical identifiers for Memorial Division Of Neurology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700216496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (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 Neurology acts as a billing entity for following providers:
Provider NameSean Shea
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1760489397
PECOS PAC ID: 6305833054
Enrollment ID: I20100303000536
Provider NameGeorge C Diaz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083611677
PECOS PAC ID: 1456496348
Enrollment ID: I20100303000782
Provider NamePaul L Ginsberg
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1043261068
PECOS PAC ID: 4981734506
Enrollment ID: I20100608000917
Provider NameJonathan S Cross
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1336146927
PECOS PAC ID: 0749325637
Enrollment ID: I20100809001104
Provider NameSeth Craig Tarras
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1932140902
PECOS PAC ID: 1052581295
Enrollment ID: I20110826000487
Provider NameTatyana Dubrovsky
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912116450
PECOS PAC ID: 9234301847
Enrollment ID: I20111004000165
Provider NameSean T Kenniff
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1720308034
PECOS PAC ID: 7315185360
Enrollment ID: I20130603000314
Provider NameMhd Tarek M Zakaria
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1144422502
PECOS PAC ID: 3577622141
Enrollment ID: I20140312001110
Provider NameJoshuae German Gallardo
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689985962
PECOS PAC ID: 7012134851
Enrollment ID: I20140819000324
Provider NameMadiley Broz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790174563
PECOS PAC ID: 4284952029
Enrollment ID: I20150416002237
Provider NameMaike T Blaya
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1750583126
PECOS PAC ID: 3577601574
Enrollment ID: I20150721003112
Provider NameAdnan M Subei
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1962722876
PECOS PAC ID: 6103046461
Enrollment ID: I20150826002592
Provider NameCatherine Deutsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104235340
PECOS PAC ID: 4587971288
Enrollment ID: I20150914000197
Provider NameSusanne Gonzalez Gallardo
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1609192814
PECOS PAC ID: 5890004113
Enrollment ID: I20151027001198
Provider NameJada Caridad Santos
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639629694
PECOS PAC ID: 7214217462
Enrollment ID: I20161206001518
Provider NameZulema Arbide
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154584167
PECOS PAC ID: 3577831593
Enrollment ID: I20170616000010
Provider NameAnita Evelyn Arias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861942443
PECOS PAC ID: 1153690128
Enrollment ID: I20170706002504
Provider NameMiriam Y Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578924163
PECOS PAC ID: 6507122421
Enrollment ID: I20171109001565
Provider NameFiorella Jahaira Saka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003326281
PECOS PAC ID: 0749549319
Enrollment ID: I20180108000599
Provider NameBandi Lea Tawny Davini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033622527
PECOS PAC ID: 1759642564
Enrollment ID: I20180219000647
Provider NameMohammed Qureshi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1174934434
PECOS PAC ID: 9931328085
Enrollment ID: I20190205003530
Provider NameBuse Sengul
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1538575824
PECOS PAC ID: 9739425117
Enrollment ID: I20190809000780
Provider NameKimberly N Lakey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124669635
PECOS PAC ID: 2769815000
Enrollment ID: I20191127001471
Provider NameBrandi Baker
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003298852
PECOS PAC ID: 2860706777
Enrollment ID: I20200729000732
Provider NameDonald C Barr
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215348313
PECOS PAC ID: 6800175332
Enrollment ID: I20200821001583
Provider NameFawad Yousuf
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851822670
PECOS PAC ID: 4486054418
Enrollment ID: I20210614001892
Provider NameNoureldin Mohamed Abdelhamid
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1811275076
PECOS PAC ID: 1254651912
Enrollment ID: I20210804000117
Provider NameJacqueline D Tippett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194344820
PECOS PAC ID: 4284030792
Enrollment ID: I20210909000412
Provider NameKarim Salame
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215190681
PECOS PAC ID: 2062633068
Enrollment ID: I20210916000254
Provider NameDailis E Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720740053
PECOS PAC ID: 4587048624
Enrollment ID: I20220908002341
Provider NameChristopher Arocha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386342988
PECOS PAC ID: 1456719723
Enrollment ID: I20230618000074
Provider NameAna Isabel Coronado
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1962924563
PECOS PAC ID: 7113255944
Enrollment ID: I20230620000742
Provider NameBrigitte E Farnsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992478200
PECOS PAC ID: 3779937339
Enrollment ID: I20230929003517
Provider NameMohamed Nasser
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699279638
PECOS PAC ID: 5092066233
Enrollment ID: I20231011003763
Provider NameGaurav Kathuria
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346700739
PECOS PAC ID: 7517200025
Enrollment ID: I20231201002094
Provider NameSadia Waheed
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1386104487
PECOS PAC ID: 0749516128
Enrollment ID: I20231204002138

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.