Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN in Lauderdale Lakes, FL

Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lauderdale Lakes, Florida. His current practice location is 4720 N State Road 7, Lauderdale Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 606-0911.

Marcos Jose Carvajal Bermejo is licensed to practice in Florida (license number APRN11017076) 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 1578223590.

Contact Information

	Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN
	4720 N State Road 7, Lauderdale Lakes, FL 33319-5860
	(954) 606-0911
	Not Available

Map and Direction

Provider's Profile

Full Name	Marcos Jose Carvajal Bermejo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4720 N State Road 7, Lauderdale Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578223590
Provider Enumeration Date: 12/20/2021
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5193118966
Enrollment ID: I20220201000207

Medical Identifiers

Medical identifiers for Marcos Jose Carvajal Bermejo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578223590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11017076 (Florida)	Primary
101YM0800X	Counselor - Mental Health	APRN11017076 (Florida)	Secondary

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. Marcos Jose Carvajal Bermejo allows following entities to bill medicare on his behalf.

Entity Name	Banyan Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104247188 PECOS PAC ID: 0547410011 Enrollment ID: O20121017000910

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. Marcos Jose Carvajal Bermejo 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
Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN 16430 Nw 59th Ave Ste 202, Miami Lakes, FL 33014-5605 Ph: (786) 638-1508	Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN 4720 N State Road 7, Lauderdale Lakes, FL 33319-5860 Ph: (954) 606-0911

Reviews and Comments

Nurse Practitioner Nurses in Lauderdale Lakes, FL

Rajani Rigaud, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558
Ms. Stephanie Vietinghoff, MSN AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000
Shara Alicia Haye Nicaragua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000
Catherine M Njagi, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Rd 7 F103, Suite A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859
Jennifer Evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4850 W Oakland Park Blvd Ste 136, Lauderdale Lakes, FL 33313 Phone: 844-665-4827
Sarah Beyda Jeanty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4400 N State Road 7, Lauderdale Lakes, FL 33319 Phone: 954-486-8020 Fax: 954-486-8983
Paule Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2589 N State Road 7, Chen Medical Lauderhill, Inc, Lauderdale Lakes, FL 33313 Phone: 954-714-1264 Fax: 954-714-1271

Marcos Jose Carvajal Bermejo, DNP, PMHNP-BC, APRN - Medicare Nurse Practitioner in Lauderdale Lakes, FL