Carlos Hernan Bermudez, NP in Palo Alto, CA - Medicare Nurse Practitioner

Carlos Hernan Bermudez, NP is a medicare enrolled "Nurse Practitioner" in Palo Alto, California. His current practice location is 213 Quarry Rd Fl 4, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-6469.

Carlos Hernan Bermudez is licensed to practice in California (license number 95005040) 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 1346791852.

Contact Information

	Carlos Hernan Bermudez, NP
	213 Quarry Rd Fl 4, Palo Alto, CA 94304-1416
	(650) 723-6469
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlos Hernan Bermudez
Gender	Male
Speciality	Nurse Practitioner
Location	213 Quarry Rd Fl 4, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346791852
Provider Enumeration Date: 10/19/2016
Last Update Date: 07/30/2019

Medicare PECOS Information:

PECOS PAC ID: 4385924430
Enrollment ID: I20161206002038

Medical Identifiers

Medical identifiers for Carlos Hernan Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346791852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95005040 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95005040 (California)	Secondary
363L00000X	Nurse Practitioner	95005040 (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. Carlos Hernan Bermudez allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

Entity Name	Asian And Pacific Islander Wellness Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376798413 PECOS PAC ID: 0143522839 Enrollment ID: O20160427002274

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. Carlos Hernan 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
Carlos Hernan Bermudez, NP 3444 A 16th Street, San Francisco, CA 94114 Ph: (415) 637-6009	Carlos Hernan Bermudez, NP 213 Quarry Rd Fl 4, Palo Alto, CA 94304-1416 Ph: (650) 723-6469

Reviews and Comments

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Carlos Hernan Bermudez, NP - Medicare Nurse Practitioner in Palo Alto, CA