Johnathan Frederick Bermudez, PA-C in Columbia, MD

Johnathan Frederick Bermudez, PA-C is a medicare enrolled "Physician Assistant - Medical" in Columbia, Maryland. His current practice location is 5755 Cedar Ln, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 740-7890.

Johnathan Frederick Bermudez is licensed to practice in Maryland (license number C0005355) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720326754.

Contact Information

	Johnathan Frederick Bermudez, PA-C
	5755 Cedar Ln, Columbia, MD 21044-2912
	(410) 740-7890
	Not Available

Map and Direction

Provider's Profile

Full Name	Johnathan Frederick Bermudez
Gender	Male
Speciality	Physician Assistant - Medical
Location	5755 Cedar Ln, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720326754
Provider Enumeration Date: 01/25/2013
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 7517103138
Enrollment ID: I20141118002153

Medical Identifiers

Medical identifiers for Johnathan Frederick Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720326754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110004123 (Virginia)	Secondary
363AM0700X	Physician Assistant - Medical	C0005355 (Maryland)	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. Johnathan Frederick Bermudez 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
Johnathan Frederick Bermudez, PA-C 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: () -	Johnathan Frederick Bermudez, PA-C 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: (410) 740-7890

Reviews and Comments

Physician Assistant Nurses in Columbia, MD

Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890
Gretchen H Shapero, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Pkwy, Ste 103, Columbia, MD 21044 Phone: 410-997-0580 Fax: 410-740-8587
Jessica Ann Taylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6656 Dobbin Rd, Columbia, MD 21045 Phone: 410-381-1330

Johnathan Frederick Bermudez, PA-C - Medicare Physician Assistant in Columbia, MD