| Bertha Marcellino, MD | |
|
3003 S Congress Ave, Suite 1c, Palm Springs, FL 33461-2169 | |
| (561) 433-3460 | |
| (561) 433-3828 |
| Full Name | Bertha Marcellino |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 3003 S Congress Ave, Palm Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033144001 | NPI | - | NPPES |
| 272165100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME92093 (Florida) | Secondary |
| 208D00000X | General Practice | ME92093 (Florida) | Primary |
| Entity Name | Bertha Marcellino Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508066879 PECOS PAC ID: 5496792640 Enrollment ID: O20050411000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Bertha Marcellino, MD 2860 S Ocean Blvd Apt 509, Palm Beach, FL 33480-5562 Ph: (561) 586-5083 | Bertha Marcellino, MD 3003 S Congress Ave, Suite 1c, Palm Springs, FL 33461-2169 Ph: (561) 433-3460 |
Dr. Kanould Dolcine, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1650 S Congress Ave, Palm Springs, FL 33461 Phone: 561-272-7714 Fax: 855-618-2156 | |
William Quintero Perez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 3145 S Congress Ave Ste A, Palm Springs, FL 33461 Phone: 561-559-2371 Fax: 561-530-4540 |