Miracle Community Behavioral Center Corp is a medicare enrolled "General Practice" provider in Miami, Florida. Their current practice location is
15660 Sw 72nd St, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(786) 697-1150.
Miracle Community Behavioral Center Corp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Miracle Community Behavioral Center Corp
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700491552.
Healthcare Provider's Profile
| Full Name | Miracle Community Behavioral Center Corp |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 15660 Sw 72nd St, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700491552
- Provider Enumeration Date: 09/09/2020
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840600359
- Enrollment ID: O20201111001510
Medical Identifiers
Medical identifiers for Miracle Community Behavioral Center Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700491552 | NPI | - | NPPES |
| 118354400 | Medicaid | FL | |
| 42711 | Other | FL | HEALTH CARE CLINIC CERTIFICATE (AHCA) |
| 15527884 | Other | FL | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (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.
Miracle Community Behavioral Center Corp acts as a billing entity for following providers:
| Provider Name | Ketty Maurice |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1053368043
PECOS PAC ID: 0446143382
Enrollment ID: I20040205000130 |
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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. Miracle Community Behavioral Center Corp 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 |
|---|
Miracle Community Behavioral Center Corp
15660 Sw 72nd St,
Miami, FL 33193-1923
Ph: (786) 697-1150 | Miracle Community Behavioral Center Corp
15660 Sw 72nd St,
Miami, FL 33193-1923
Ph: (786) 697-1150 |
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