Susan Berganio, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Vandenberg Afb, California. Her current practice location is
338 S Dakota Ave, Vandenberg Afb, California. You can reach out to her office (for appointments etc.) via phone at
(056) 054-7028.
Susan Berganio is licensed to practice in Florida (license number RN9194077) 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 1497053565.
Provider's Profile
Full Name | Susan Berganio |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 338 S Dakota Ave, Vandenberg Afb, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497053565
- Provider Enumeration Date: 03/14/2011
- Last Update Date: 05/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618217936
- Enrollment ID: I20190325001373
Medical Identifiers
Medical identifiers for Susan Berganio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497053565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN9194077 (Florida) | Primary |
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 Berganio 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 Berganio, NP-C 3250 Zemke Ave, Tampa, FL 33621-5023 Ph: (813) 827-9265 | Susan Berganio, NP-C 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (056) 054-7028 |
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