Peter A Bertelli, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Lake Wylie, SC

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Peter A Bertelli, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lake Wylie, South Carolina. His current practice location is 244 Latitude Ln Ste 104, Lake Wylie, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 809-3184.

Peter A Bertelli is licensed to practice in South Carolina (license number 28167) 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 1235766338.

Contact Information

Peter A Bertelli, MSN, APRN, PMHNP-BC
244 Latitude Ln Ste 104,
Lake Wylie, SC 29710-8125
(803) 809-3184
(803) 615-4662

Map and Direction




Provider's Profile

Full NamePeter A Bertelli
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location244 Latitude Ln Ste 104, Lake Wylie, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235766338
  • Provider Enumeration Date: 03/26/2020
  • Last Update Date: 02/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557710597
  • Enrollment ID: I20231215000691

Medical Identifiers

Medical identifiers for Peter A Bertelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235766338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61656954 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2317837 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 28167 (South Carolina)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5019724 (North Carolina)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. Peter A Bertelli allows following entities to bill medicare on his behalf.
Entity NameSandalwood Mental Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710662341
PECOS PAC ID: 0648712638
Enrollment ID: O20240605002666

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. Peter A Bertelli 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 AddressPractice Location Address
Peter A Bertelli, MSN, APRN, PMHNP-BC
Po Box 1081,
Clover, SC 29710-4081

Ph: (803) 809-3184		Peter A Bertelli, MSN, APRN, PMHNP-BC
244 Latitude Ln Ste 104,
Lake Wylie, SC 29710-8125

Ph: (803) 809-3184

Reviews and Comments


Nurse Practitioner Nurses in Lake Wylie, SC

Kristen Jean Burns, FNP-C
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Practice Location: 1200 Village Harbor Dr, Lake Wylie, SC 29710
Phone: 803-631-2858    Fax: 803-631-2862
Mrs. Freedom Lee Proctor, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1516 Village Harbor Dr, Lake Wylie, SC 29710
Phone: 803-752-4200    Fax: 803-752-4300
Ramanjit Kaur,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2495 Napa Ter, Lake Wylie, SC 29710
Phone: 201-755-7369    
Amanda C Ivey, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 Village Harbor Dr, Lake Wylie, SC 29710
Phone: 803-631-2858    Fax: 803-631-2862

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.