Mr Mark Edward Bertsch, FNP in Port Jefferson, NY

Mr Mark Edward Bertsch, FNP is a medicare enrolled "Nurse Practitioner - Family" in Port Jefferson, New York. His current practice location is 200 Belle Terre Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 474-6000.

Mr Mark Edward Bertsch is licensed to practice in New York (license number 354320) 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 1649005620.

Contact Information

	Mr Mark Edward Bertsch, FNP
	200 Belle Terre Rd, Port Jefferson, NY 11777-1928
	(631) 474-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Edward Bertsch
Gender	Male
Speciality	Nurse Practitioner - Family
Location	200 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649005620
Provider Enumeration Date: 09/07/2024
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4880128842
Enrollment ID: I20241113001988

Medical Identifiers

Medical identifiers for Mr Mark Edward Bertsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649005620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	354320 (New York)	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. Mr Mark Edward Bertsch allows following entities to bill medicare on his behalf.

Entity Name	Southwest Suffolk Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297

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. Mr Mark Edward Bertsch 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
Mr Mark Edward Bertsch, FNP 3 Niagara St, Miller Place, NY 11764-2508 Ph: (631) 356-3241	Mr Mark Edward Bertsch, FNP 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6000

Reviews and Comments

Nurse Practitioner Nurses in Port Jefferson, NY

Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999
Katlyn Ann Conville, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2565
Kathleen Fanelli, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786
Ms. Christine Julia Mckeon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777 Phone: 631-473-3877
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586

Mr Mark Edward Bertsch, FNP - Medicare Nurse Practitioner in Port Jefferson, NY