Bernice Baroudi, DO - Medicare Dermatology in Port Charlotte, FL

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Bernice Baroudi, DO is a medicare enrolled "Dermatology" physician in Port Charlotte, Florida. Her current practice location is 3222 Tamiami Trl, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 627-5155.

Bernice Baroudi is licensed to practice in Florida (license number OS19199) 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 1053806000.

Contact Information

Bernice Baroudi, DO
3222 Tamiami Trl,
Port Charlotte, FL 33952-8048
(941) 627-5155
Not Available

Map and Direction




Physician's Profile

Full NameBernice Baroudi
GenderFemale
SpecialityDermatology
Location3222 Tamiami Trl, Port Charlotte, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053806000
  • Provider Enumeration Date: 06/22/2018
  • Last Update Date: 12/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375913601
  • Enrollment ID: I20230103002061

Medical Identifiers

Medical identifiers for Bernice Baroudi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053806000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology OS19199 (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. Bernice Baroudi allows following entities to bill medicare on her behalf.
Entity NamePromenades Dermatology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720799232
PECOS PAC ID: 2466822796
Enrollment ID: O20230103001990

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. Bernice Baroudi 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 AddressPractice Location Address
Bernice Baroudi, DO
3222 Tamiami Trl,
Port Charlotte, FL 33952-8048

Ph: (941) 627-5155		Bernice Baroudi, DO
3222 Tamiami Trl,
Port Charlotte, FL 33952-8048

Ph: (941) 627-5155

Reviews and Comments


Dermatology Doctors in Port Charlotte, FL

Stephen A Spencer, MD PA
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1617 Tamiami Trl, Port Charlotte, FL 33948
Phone: 941-613-2400    
Dr. Alexander Herbst, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952
Phone: 941-764-1055    Fax: 941-764-7984
Manuel Hector Hernandez, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2484 Caring Way, Suite C, Port Charlotte, FL 33952
Phone: 941-764-7773    
Ms. Laini Rae Gaar, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1617 Tamiami Trl, Port Charlotte, FL 33948
Phone: 941-613-2400    Fax: 941-613-2401
Dr. Jay S. Herbst, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952
Phone: 941-764-1055    Fax: 941-764-7984

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.