Bertha Marcellino Md Pa | |
3003 S Congress Ave Suite 1c Palm Springs FL 33461-2169 | |
(561) 433-3460 | |
(561) 433-3828 |
Full Name | Bertha Marcellino Md Pa |
---|---|
Speciality | Family Medicine |
Location | 3003 S Congress Ave, Palm Springs, Florida |
Authorized Official Name and Position | Bertha L Marcellino (OWNER) |
Authorized Official Contact | 5615145486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bertha Marcellino Md Pa 2860 S Ocean Blvd Apt 509 Palm Beach FL 33480-5562 Ph: (561) 586-5083 | Bertha Marcellino Md Pa 3003 S Congress Ave Suite 1c Palm Springs FL 33461-2169 Ph: (561) 433-3460 |
NPI Number | 1508066879 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 10/08/2010 |
Medicare PECOS PAC ID | 5496792640 |
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Medicare Enrollment ID | O20050411000167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508066879 | NPI | - | NPPES |
2726165101 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME92093 (Florida) | Primary |
Provider Name | Bertha L Marcellino |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033144001 PECOS PAC ID: 8022055276 Enrollment ID: I20050411000189 |
Doctor's Choice Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-433-8900 Fax: 561-433-4312 | |
Revolutionary Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3175 S Congress Ave Ste 203, Palm Springs, FL 33461 Phone: 561-328-7527 | |
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Prime Care Of Palm Beach P.l. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3199 Lake Worth Rd, Suite B4, Palm Springs, FL 33461 Phone: 561-296-2273 Fax: 561-296-0495 | |
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