Rene Bermudez, DO is a medicare enrolled "Dermatology" physician in Whiteville, North Carolina. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Southern Dermatology Pa and his current practice location is
720 Jefferson St, Whiteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 251-9944.
Rene Bermudez is licensed to practice in North Carolina (license number 2005-00626) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003895004.
Physician's Profile
| Full Name | Rene Bermudez |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 25 Years |
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| Location | 720 Jefferson St, Whiteville, North Carolina |
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| Accepts Medicare Assignments | Yes. He 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:
- Rene Bermudez attended and graduated from Philadelphia College Of Osteopathic Medicine in 1999
NPI Data:
- NPI Number: 1003895004
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961438809
- Enrollment ID: I20050712001217
Medical Identifiers
Medical identifiers for Rene Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003895004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2005-00626 (North Carolina) | Secondary |
| 207N00000X | Dermatology | 2005-00626 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Dermatology Pa | 7012971609 | 41 |
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. Rene Bermudez allows following entities to bill medicare on his behalf.
| Entity Name | Southern Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568415586
PECOS PAC ID: 7012971609
Enrollment ID: O20041113000271 |
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| Entity Name | The Charlotte-mecklenburg Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605 |
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| Entity Name | Dermatology Center Of Shelby Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710940887
PECOS PAC ID: 4284810425
Enrollment ID: O20110523000864 |
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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. Rene 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 |
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Rene Bermudez, DO
1099 Medical Center Dr Ste 201,
Wilmington, NC 28401-7346
Ph: (910) 251-9944 | Rene Bermudez, DO
720 Jefferson St,
Whiteville, NC 28472-3706
Ph: (910) 251-9944 |
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