Henriette Barbara Bertheau Avila, in Lake Wales, FL

Henriette Barbara Bertheau Avila, is a medicare enrolled "Nurse Practitioner - Family" in Lake Wales, Florida. Her current practice location is 1120 Carlton Ave, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 323-3177.

Henriette Barbara Bertheau Avila is licensed to practice in Florida (license number 11029632) 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 1740055201.

Contact Information

	Henriette Barbara Bertheau Avila,
	1120 Carlton Ave, Lake Wales, FL 33853-4348
	(305) 323-3177
	Not Available

Map and Direction

Provider's Profile

Full Name	Henriette Barbara Bertheau Avila
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1120 Carlton Ave, Lake Wales, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740055201
Provider Enumeration Date: 11/15/2023
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8820449499
Enrollment ID: I20240108004620

Medical Identifiers

Medical identifiers for Henriette Barbara Bertheau Avila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740055201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11029632 (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. Henriette Barbara Bertheau Avila allows following entities to bill medicare on her behalf.

Entity Name	American Care Of North Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053679787 PECOS PAC ID: 2567681075 Enrollment ID: O20140916001072

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. Henriette Barbara Bertheau Avila 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
Henriette Barbara Bertheau Avila, 1120 Carlton Ave, Lake Wales, FL 33853-4348 Ph: (863) 270-4546	Henriette Barbara Bertheau Avila, 1120 Carlton Ave, Lake Wales, FL 33853-4348 Ph: (305) 323-3177

Reviews and Comments

Nurse Practitioner Nurses in Lake Wales, FL

Natasha L Fenelon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 State Road 60 W, Lake Wales, FL 33853 Phone: 863-949-4868 Fax: 863-223-8549
Mrs. Jodie Demay Schmidt, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 Bryn Mawr Ave, Lake Wales, FL 33853 Phone: 863-676-3411 Fax: 863-676-1015
Summer Abukhodeir, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 858 Redwood Way, Lake Wales, FL 33898 Phone: 863-232-7604
Felicia Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 813 Lindsey Pl, Lake Wales, FL 33853 Phone: 873-605-8509
Heather Lopez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Margot Ln, Lake Wales, FL 33853 Phone: 863-978-8737
Shirley O White-campbell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 State Road 60 E, Lake Wales, FL 33853 Phone: 863-282-6441 Fax: 863-208-9190
Milcah Grace S Caculitan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Carlton Ave, Suite 1300, Lake Wales, FL 33853 Phone: 863-676-6386 Fax: 863-676-6452

Henriette Barbara Bertheau Avila, - Medicare Nurse Practitioner in Lake Wales, FL