Dr David Ivan Bermejo, DO is a medicare enrolled "Family Medicine" physician in Vandenberg Afb, California. His current practice location is
338 S Dakota Ave, Vandenberg Afb, California. You can reach out to his office (for appointments etc.) via phone at
(805) 606-2273.
Dr David Ivan Bermejo is licensed to practice in California (license number 20A22926) 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 1831723618.
Physician's Profile
| Full Name | Dr David Ivan Bermejo |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 338 S Dakota Ave, Vandenberg Afb, 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: 1831723618
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436539665
- Enrollment ID: I20240904002184
Medical Identifiers
Medical identifiers for Dr David Ivan Bermejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831723618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2497 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 20A22926 (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. Dr David Ivan Bermejo allows following entities to bill medicare on his behalf.
| Entity Name | Lompoc Valley Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649282856
PECOS PAC ID: 9739275595
Enrollment ID: O20090506000381 |
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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. Dr David Ivan 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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Dr David Ivan Bermejo, DO
338 S Dakota Ave,
Vandenberg Afb, CA 93437-6307
Ph: (805) 606-2273 | Dr David Ivan Bermejo, DO
338 S Dakota Ave,
Vandenberg Afb, CA 93437-6307
Ph: (805) 606-2273 |
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