BALANCED WELLBEING LLC – Psychiatry Physician, NPI 1336513639
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BALANCED WELLBEING LLC
3200 SW 34TH AVE STE 701
OCALA, FL 344748443
Phone: (352) 445-1200
Type: Location
985 FL-436
Casselberry, FL 32707
Phone: (352) 445-1200
Type: Location
3932 W Eau Gallie Blvd
Melbourne, FL 329343283
Phone: (352) 445-1200
Type: Location
1188 SW MAIN BLVD STE 2
LAKE CITY, FL 320256684
Phone: (352) 445-1200
Type: Location
10161 LAKE MIONA WAY
OXFORD, FL 344843796
Phone:
Type: Mailing
10840 NORTH US HIGHWAY
SUITE 301
OXFORD, FL 34484
Phone: (352) 445-1200
Fax: (888) 248-4348
Type: Location
608 N US Highway 1
Fort Pierce, FL 349503023
Phone: (352) 445-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (165 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20160307002587 | O | Clinic/Group Practice | FL | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34474)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.