Deborah Valdivieso, is a medicare enrolled "Developmental Therapist" provider in Rockledge, Florida. Her current practice location is
1022 Florida Ave S, Rockledge, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 634-3688.
Deborah Valdivieso is licensed to practice in Florida (license number PT3790) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942328406.
Healthcare Provider's Profile
| Full Name | Deborah Valdivieso |
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| Gender | Female |
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| Speciality | Developmental Therapist |
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| Location | 1022 Florida Ave S, Rockledge, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942328406
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 06/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103299979
- Enrollment ID: I20230224001926
Medical Identifiers
Medical identifiers for Deborah Valdivieso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942328406 | NPI | - | NPPES |
| 882160700 | Medicaid | FL | |
| 889522800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT3790 (Florida) | Secondary |
| 222Q00000X | Developmental Therapist | PT3790 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Deborah Valdivieso allows following entities to bill medicare on her behalf.
| Provider Name | Iii-d Therapy Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124649280
PECOS PAC ID: 2567888977
Enrollment ID: O20200817001244 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deborah Valdivieso is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deborah Valdivieso,
1022 Florida Ave S,
Rockledge, FL 32955-2145
Ph: (321) 634-3688 | Deborah Valdivieso,
1022 Florida Ave S,
Rockledge, FL 32955-2145
Ph: (321) 634-3688 |
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