Proactive Health Corp is a medicare enrolled "Behavior Analyst" provider in Hialeah, Florida. Their current practice location is
3750 W 16th Ave Ste 218, Hialeah, Florida. You can reach out to their office (for appointments etc.) via phone at
(786) 409-3231.
Proactive Health Corp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Health 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 1497117683.
Healthcare Provider's Profile
| Full Name | Proactive Health Corp |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 3750 W 16th Ave Ste 218, Hialeah, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1497117683
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981027265
- Enrollment ID: O20200702002156
Medical Identifiers
Medical identifiers for Proactive Health Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497117683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SA14278 (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (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.
Proactive Health Corp acts as a billing entity for following providers:
| Provider Name | Ricardo O Grinbank |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1750422572
PECOS PAC ID: 5698931962
Enrollment ID: I20120801000136 |
|---|
| Provider Name | Liuva Cruz Duque |
|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
|---|
| Provider Identifiers | NPI Number: 1427468776
PECOS PAC ID: 7517380892
Enrollment ID: I20200702002214 |
|---|
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. Proactive Health 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 |
|---|
Proactive Health Corp
3750 W 16th Ave Ste 218,
Hialeah, FL 33012-4648
Ph: (786) 409-3231 | Proactive Health Corp
3750 W 16th Ave Ste 218,
Hialeah, FL 33012-4648
Ph: (786) 409-3231 |
Reviews and Comments