Tatiana Luces-riva, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Winter Park, Florida. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Florida Hospital Medical Group Inc and her current practice location is
1573 W Fairbanks Ave Ste 220, Winter Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 303-7991.
Tatiana Luces-riva is licensed to practice in Florida (license number PY11381) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891465688.
Healthcare Provider's Profile
| Full Name | Tatiana Luces-riva |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 1573 W Fairbanks Ave Ste 220, Winter Park, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tatiana Luces-riva graduated from medical school in 2021
NPI Data:
- NPI Number: 1891465688
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224424700
- Enrollment ID: I20220410000077
Medical Identifiers
Medical identifiers for Tatiana Luces-riva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891465688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY11381 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Hospital Medical Group Inc | 0749186153 | 1163 |
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. Tatiana Luces-riva allows following entities to bill medicare on her behalf.
| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807 |
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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. Tatiana Luces-riva 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 |
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Tatiana Luces-riva, PSYD
6252 Aralia Ivy Ln,
Winter Garden, FL 34787-9536
Ph: (305) 450-4328 | Tatiana Luces-riva, PSYD
1573 W Fairbanks Ave Ste 220,
Winter Park, FL 32789-4679
Ph: (407) 303-7991 |
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