| Bernadine M Deramo, NP | |
|
500 S Anaheim Hills Rd, Ste #206, Anaheim Hills, CA 92807 | |
| (714) 282-6934 | |
| (714) 282-6935 |
| Full Name | Bernadine M Deramo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 500 S Anaheim Hills Rd, Anaheim Hills, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255344768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP11546 (California) | Primary |
| 207R00000X | Internal Medicine | NP11546 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St. Joseph Hospital | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadine M Deramo, NP 500 S Anaheim Hills Rd, Ste #206, Anaheim Hills, CA 92807 Ph: (714) 282-6934 | Bernadine M Deramo, NP 500 S Anaheim Hills Rd, Ste #206, Anaheim Hills, CA 92807 Ph: (714) 282-6934 |
Ms. Bernadette Pamulo Gonzales, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 197 N. Mohler Drive, Anaheim Hills, CA 92808 Phone: 714-998-7088 |
Terisa Marie Brown-sienko, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 S Anaheim Hills Rd, Ste #206, Anaheim Hills, CA 92807 Phone: 714-282-6934 Fax: 714-282-6935 |
Taryl Lynn Nothern, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Anaheim Hills Road, Suite 129, Anaheim Hills, CA 92807 Phone: 714-282-1892 Fax: 714-282-9682 |