Keriea Tia Bean, is a medicare enrolled "Nurse Practitioner" physician in Titusville, Florida. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aqua Dermatology Of Florida, Pa and her current practice location is
2395 S Washington Ave Ste 1, Titusville, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 385-7979.
Keriea Tia Bean is licensed to practice in Florida (license number APRN11019420) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477297190.
Physician's Profile
| Full Name | Keriea Tia Bean |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 2395 S Washington Ave Ste 1, Titusville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keriea Tia Bean graduated from medical school in 2021
NPI Data:
- NPI Number: 1477297190
- Provider Enumeration Date: 04/27/2022
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113304940
- Enrollment ID: I20220517003270
Medical Identifiers
Medical identifiers for Keriea Tia Bean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477297190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | APRN11019420 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11019420 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aqua Dermatology Of Florida, Pa | 1153390414 | 161 |
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. Keriea Tia Bean allows following entities to bill medicare on her behalf.
| Entity Name | Aqua Dermatology Of Florida, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538270335
PECOS PAC ID: 1153390414
Enrollment ID: O20041002000097 |
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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. Keriea Tia Bean 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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Keriea Tia Bean,
900 Village Square Xing Ste 290,
Palm Beach Gardens, FL 33410-4552
Ph: () - | Keriea Tia Bean,
2395 S Washington Ave Ste 1,
Titusville, FL 32780-4702
Ph: (321) 385-7979 |
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