Susan L Berg, FNP in Tampa, FL - Medicare Nurse Practitioner

Susan L Berg, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. Her current practice location is 3503 E Frontage Rd, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 586-8187.

Susan L Berg is licensed to practice in Florida (license number APRN9432283) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639210412.

Contact Information

	Susan L Berg, FNP
	3503 E Frontage Rd, Tampa, FL 33607-1742
	(813) 586-8187
	(813) 321-6998

Map and Direction

Provider's Profile

Full Name	Susan L Berg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3503 E Frontage Rd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639210412
Provider Enumeration Date: 02/12/2007
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7315070505
Enrollment ID: I20240725000705

Medical Identifiers

Medical identifiers for Susan L Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639210412	NPI	-	NPPES
428420509	Medicaid	MO
159889758	Other	AR	AR MDCD #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	150718 (Missouri)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	150718 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9432283 (Florida)	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. Susan L Berg allows following entities to bill medicare on her behalf.

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

Entity Name	Baycare Urgent Care, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184677007 PECOS PAC ID: 6103841051 Enrollment ID: O20051010000665

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. Susan L Berg 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
Susan L Berg, FNP 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496	Susan L Berg, FNP 3503 E Frontage Rd, Tampa, FL 33607-1742 Ph: (813) 586-8187

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Susan L Berg, FNP - Medicare Nurse Practitioner in Tampa, FL