Mrs Shamir Bergeron, APRN in Mount Dora, FL - Medicare Nurse Practitioner

Mrs Shamir Bergeron, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mount Dora, Florida. Her current practice location is 5741 Ansley Way, Mount Dora, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 989-7808.

Mrs Shamir Bergeron is licensed to practice in Florida (license number 11013119) 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 1609441609.

Contact Information

	Mrs Shamir Bergeron, APRN
	5741 Ansley Way, Mount Dora, FL 32757-8005
	(352) 989-7808
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shamir Bergeron
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5741 Ansley Way, Mount Dora, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609441609
Provider Enumeration Date: 05/21/2021
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2769850163
Enrollment ID: I20221116000256

Medical Identifiers

Medical identifiers for Mrs Shamir Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609441609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11013119 (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. Mrs Shamir Bergeron allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

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. Mrs Shamir Bergeron 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
Mrs Shamir Bergeron, APRN 2710 Dora Ave, Tavares, FL 32778-4970 Ph: (352) 508-5076	Mrs Shamir Bergeron, APRN 5741 Ansley Way, Mount Dora, FL 32757-8005 Ph: (352) 989-7808

Reviews and Comments

Nurse Practitioner Nurses in Mount Dora, FL

Ms. Carol J Kirkland, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495
Stacy Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151
Kristen Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Wolf Ridge Ln, Mount Dora, FL 32757 Phone: 352-219-2215
Sharon Molok, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755
Mrs. Anna Nora Walls, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111
Juanita Christine Robbins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757 Phone: 352-800-5101
Amber Renae Sanford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2255 Crescent Dr, Mount Dora, FL 32757 Phone: 352-838-3826

Mrs Shamir Bergeron, APRN - Medicare Nurse Practitioner in Mount Dora, FL