Cicero Offemaria Bermundo, is a
Physical Therapy Assistant based in Danville, Illinois. Cicero Offemaria Bermundo is licensed to practice in Illinois (license number 160.007924) and his current practice location is
620 Warrington Ave, Danville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 446-0660.
NPI number for Cicero Offemaria Bermundo is 1720588304 and his current mailing address is 511 Lawndale Dr, Danville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720588304.
Provider's Profile
Full Name | Cicero Offemaria Bermundo |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 620 Warrington Ave, Danville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720588304
- Provider Enumeration Date: 02/20/2018
- Last Update Date: 02/20/2018
Medical Identifiers
Medical identifiers for Cicero Offemaria Bermundo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720588304 | NPI | - | NPPES |
145183 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043112534 (Illinois) | Secondary |
225200000X | Physical Therapy Assistant | 160.007924 (Illinois) | Primary |
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. Cicero Offemaria Bermundo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cicero Offemaria Bermundo, 511 Lawndale Dr, Danville, IL 61832-2244 Ph: () - | Cicero Offemaria Bermundo, 620 Warrington Ave, Danville, IL 61832-5446 Ph: (217) 446-0660 |
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