Andrew B Bernales, MD is a medicare enrolled "Pediatrics" physician in Brusly, Louisiana. His current practice location is
402 N Vaughan Dr, Brusly, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 448-5321.
Andrew B Bernales is licensed to practice in Louisiana (license number 324080) 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 1780104943.
Physician's Profile
Full Name | Andrew B Bernales |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 402 N Vaughan Dr, Brusly, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780104943
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870863467
- Enrollment ID: I20220817002836
Medical Identifiers
Medical identifiers for Andrew B Bernales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780104943 | NPI | - | NPPES |
2542605 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 324080 (Louisiana) | Primary |
208000000X | Pediatrics | 125069861 (Illinois) | Secondary |
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. Andrew B Bernales allows following entities to bill medicare on his behalf.
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
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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. Andrew B Bernales 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 |
Andrew B Bernales, MD Po Box 19658, Springfield, IL 62794-9658 Ph: (217) 545-8000 | Andrew B Bernales, MD 402 N Vaughan Dr, Brusly, LA 70719-2225 Ph: (225) 448-5321 |
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