Ms Elsa Victoria Bermudez, RD is a medicare enrolled "Dietitian, Registered" provider in Patton, California. Her current practice location is
3102 E Highland Ave, Patton, California. You can reach out to her office (for appointments etc.) via phone at
(909) 425-6273.
Ms Elsa Victoria Bermudez is licensed to practice in California (license number 1037396) 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 1508161449.
Healthcare Provider's Profile
| Full Name | Ms Elsa Victoria Bermudez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3102 E Highland Ave, Patton, California |
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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: 1508161449
- Provider Enumeration Date: 01/25/2011
- Last Update Date: 01/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 0941648067
- Enrollment ID: I20240409000438
Medical Identifiers
Medical identifiers for Ms Elsa Victoria Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508161449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1037396 (California) | 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. Ms Elsa Victoria Bermudez allows following entities to bill medicare on her behalf.
| Provider Name | Sodexo Operations Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528034436
PECOS PAC ID: 9739092875
Enrollment ID: O20031223000843 |
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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. Ms Elsa Victoria 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 |
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Ms Elsa Victoria Bermudez, RD
4159 Newport Ct,
San Bernardino, CA 92404-1436
Ph: (909) 425-6273 | Ms Elsa Victoria Bermudez, RD
3102 E Highland Ave,
Patton, CA 92369-7813
Ph: (909) 425-6273 |
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