Eleonora Hackman-kerbyson, MD in Port Charlotte, FL

Eleonora Hackman-kerbyson, MD is a medicare enrolled "Internal Medicine" physician in Port Charlotte, Florida. Her current practice location is 2450 Tamiami Trl, Ste A, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 624-2704.

Eleonora Hackman-kerbyson is licensed to practice in Florida (license number ME104987) 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 1720020852.

Contact Information

	Eleonora Hackman-kerbyson, MD
	2450 Tamiami Trl, Ste A, Port Charlotte, FL 33952-3922
	(941) 624-2704
	(941) 627-6066

Map and Direction

Physician's Profile

Full Name	Eleonora Hackman-kerbyson
Gender	Female
Speciality	Internal Medicine
Location	2450 Tamiami Trl, Port Charlotte, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720020852
Provider Enumeration Date: 06/12/2006
Last Update Date: 02/20/2014

Medicare PECOS Information:

PECOS PAC ID: 6709798804
Enrollment ID: I20150220000977

Medical Identifiers

Medical identifiers for Eleonora Hackman-kerbyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720020852	NPI	-	NPPES
426403	Other	MO	HEALTHLINK
124884	Other	MO	BLUE CROSS
208440818	Medicaid	MO
947071631	Other	MO	MERCY HEALTH
P00145175	Other	MO	RAILROAD MEDICARE
036110911	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2003014738 (Missouri)	Secondary
207P00000X	Emergency Medicine	036-110911 (Illinois)	Secondary
207R00000X	Internal Medicine	ME104987 (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. Eleonora Hackman-kerbyson allows following entities to bill medicare on her behalf.

Entity Name	Teche Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356658884 PECOS PAC ID: 0547456295 Enrollment ID: O20101122000141

Entity Name	Main Street Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279

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. Eleonora Hackman-kerbyson 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
Eleonora Hackman-kerbyson, MD 3434 Hancock Bridge Pkwy, Ste 301, N Fort Myers, FL 33903-7094 Ph: (877) 856-3774	Eleonora Hackman-kerbyson, MD 2450 Tamiami Trl, Ste A, Port Charlotte, FL 33952-3922 Ph: (941) 624-2704

Reviews and Comments

Internal Medicine Doctors in Port Charlotte, FL

Jaideep Hingorani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl, #101a, Port Charlotte, FL 33952 Phone: 941-629-4676 Fax: 941-629-1522
Mr. Leo Lin Kao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701
Anna Berenstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 941-391-5496 Fax: 941-875-9875
Danielle Wright, APRN Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3420 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-629-2111
Dr. Nikul Dilip Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701
Dr. Chitradeep De, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Caring Way Unit 4, Port Charlotte, FL 33952 Phone: 941-212-2748 Fax: 941-328-8946
Dr. Louis Damian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl Ste 101a, Port Charlotte, FL 33952 Phone: 941-629-4676

Eleonora Hackman-kerbyson, MD - Medicare Internal Medicine in Port Charlotte, FL