Dr George Thomas Bernardo, MD | |
790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279 | |
(386) 760-1877 | |
(386) 760-2791 |
Full Name | Dr George Thomas Bernardo |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 790 Dunlawton Ave, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124129259 | NPI | - | NPPES |
45360 | Other | FL | MEDICARE GROUP |
0551243 | Other | FL | AETNA |
051717800 | Medicaid | FL | |
080164320 | Other | FL | RAILROAD MEDICARE |
59-3667262 | Other | FL | TAX ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0056972 (Florida) | Primary |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Mailing Address | Practice Location Address |
---|---|
Dr George Thomas Bernardo, MD 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279 Ph: (386) 760-1877 | Dr George Thomas Bernardo, MD 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279 Ph: (386) 760-1877 |
Dr. Sandra Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 Dunlawton Ave, Suite 104, Port Orange, FL 32127 Phone: 386-767-5477 Fax: 386-767-5580 | |
Dr. Michael Morgan Dietch Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3875 S Nova Rd, Port Orange, FL 32127 Phone: 386-322-9244 Fax: 386-788-9776 | |
Dr. Raul L Zimmerman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-425-8720 Fax: 386-322-4720 | |
Dr. Carol M Gaines, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5535 S. Williamson Blvd, Suite 700, Port Orange, FL 32128 Phone: 386-231-6300 Fax: 386-322-6165 | |
Donald White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-763-1000 | |
Anunporn Srisawat, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129 Phone: 386-304-2990 |