Ivy Hazel Bermudez, MA, LPC in Amarillo, TX - Medicare Counselor Provider

Ivy Hazel Bermudez, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Amarillo, Texas. Her current practice location is 1145 Shasta Dr, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 678-5652.

Ivy Hazel Bermudez is licensed to practice in Texas (license number 77006) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013533256.

Contact Information

	Ivy Hazel Bermudez, MA, LPC
	1145 Shasta Dr, Amarillo, TX 79110-3526
	(806) 678-5652
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ivy Hazel Bermudez
Gender	Female
Speciality	Counselor - Professional
Location	1145 Shasta Dr, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013533256
Provider Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020

Medicare PECOS Information:

PECOS PAC ID: 4486187424
Enrollment ID: I20241029001979

Medical Identifiers

Medical identifiers for Ivy Hazel Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013533256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	77006 (Texas)	Primary

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. Ivy Hazel Bermudez allows following entities to bill medicare on her behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

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. Ivy Hazel Bermudez 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
Ivy Hazel Bermudez, MA, LPC 1145 Shasta Dr, Amarillo, TX 79110-3526 Ph: (806) 678-5652	Ivy Hazel Bermudez, MA, LPC 1145 Shasta Dr, Amarillo, TX 79110-3526 Ph: (806) 678-5652

Reviews and Comments

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Ivy Hazel Bermudez, MA, LPC - Medicare Counselor in Amarillo, TX