Michael M Bermudez, MD is a medicare enrolled "Emergency Medicine" physician in Portage, Indiana. His current practice location is
3630 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 364-3000.
Michael M Bermudez is licensed to practice in Virginia (license number 0101241235) 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 1649213554.
Physician's Profile
Full Name | Michael M Bermudez |
---|
Gender | Male |
---|
Speciality | Emergency Medicine |
---|
Location | 3630 Willowcreek Rd, Portage, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649213554
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 07/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678466851
- Enrollment ID: I20061221000136
Medical Identifiers
Medical identifiers for Michael M Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649213554 | NPI | - | NPPES |
1649213554 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01061935A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 36266 (Arizona) | Secondary |
207P00000X | Emergency Medicine | 208568 (New York) | Secondary |
207P00000X | Emergency Medicine | 0101241235 (Virginia) | 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. Michael M Bermudez allows following entities to bill medicare on his behalf.
Entity Name | North Indiana Emergency Physicians Llp |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1144691478 PECOS PAC ID: 5496064669 Enrollment ID: O20151029001047 |
---|
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. Michael M Bermudez 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 |
Michael M Bermudez, MD 149 Rainbow Drive #4918, Livingston, TX 77399-1049 Ph: (316) 841-4324 | Michael M Bermudez, MD 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 364-3000 |
Reviews and Comments