Constellation Support Services Llc is a medicare enrolled "Community/behavioral Health" provider in Orlando, Florida. Their current practice location is
5726 Old Cheney Hwy, Orlando, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 900-5278.
Constellation Support Services Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Constellation Support Services Llc
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 1205549078.
Healthcare Provider's Profile
| Full Name | Constellation Support Services Llc |
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| Type | Facility |
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| Speciality | Community/behavioral Health |
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| Location | 5726 Old Cheney Hwy, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205549078
- Provider Enumeration Date: 12/26/2022
- Last Update Date: 07/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 1052836939
- Enrollment ID: O20250423002370
Medical Identifiers
Medical identifiers for Constellation Support Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205549078 | NPI | - | NPPES |
| 114731200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (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.
Constellation Support Services Llc acts as a billing entity for following providers:
| Provider Name | Alexis Roberto Gonzalez Valles |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1407409386 PECOS PAC ID: 9537591151 Enrollment ID: I20200415003652 |
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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. Constellation Support Services Llc 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 |
Constellation Support Services Llc 7726 Winegard Rd Ste 53, Orlando, FL 32809-7147 Ph: (407) 900-5278 | Constellation Support Services Llc 5726 Old Cheney Hwy, Orlando, FL 32807-3525 Ph: (407) 900-5278 |
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