Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Miami Lakes, Florida. His current practice location is
16430 Nw 59th Ave Ste 202, Miami Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at
(754) 201-5811.
Marcos Jose Carvajal Bermejo is licensed to practice in Florida (license number APRN11017076) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578223590.
Healthcare Provider's Profile
| Full Name | Marcos Jose Carvajal Bermejo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 16430 Nw 59th Ave Ste 202, Miami Lakes, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578223590
- Provider Enumeration Date: 12/20/2021
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193118966
- Enrollment ID: I20220201000207
Medical Identifiers
Medical identifiers for Marcos Jose Carvajal Bermejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578223590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN11017076 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11017076 (Florida) | 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. Marcos Jose Carvajal Bermejo allows following entities to bill medicare on his behalf.
| Entity Name | Henderson Behavioral Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972533271
PECOS PAC ID: 4688574643
Enrollment ID: O20040113000676 |
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| Entity Name | Banyan Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104247188
PECOS PAC ID: 0547410011
Enrollment ID: O20121017000910 |
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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. Marcos Jose Carvajal Bermejo 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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Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN
16430 Nw 59th Ave Ste 202,
Miami Lakes, FL 33014-5605
Ph: (786) 638-1508 | Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN
16430 Nw 59th Ave Ste 202,
Miami Lakes, FL 33014-5605
Ph: (754) 201-5811 |
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