Sara Cummings Bertoch, PHD - Medicare Psychologist in Jacksonville, FL

Sara Cummings Bertoch, PHD is a medicare enrolled "Psychologist" provider in Jacksonville, Florida. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Baptist Behavioral Health Llc and her current practice location is 820 Prudential Dr Ste 510, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Sara Cummings Bertoch is licensed to practice in Florida (license number PY9046) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033461611.

Contact Information

Sara Cummings Bertoch, PHD
820 Prudential Dr Ste 510,
Jacksonville, FL 32207-8207
(904) 376-3800
(904) 396-8971



Healthcare Provider's Profile

Full NameSara Cummings Bertoch
GenderFemale
SpecialityClinical Psychologist
Experience13 Years
Location820 Prudential Dr Ste 510, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sara Cummings Bertoch graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1033461611
  • Provider Enumeration Date: 10/08/2012
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880812650
  • Enrollment ID: I20140820002306

Medical Identifiers

Medical identifiers for Sara Cummings Bertoch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033461611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY9046 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Behavioral Health Llc731516639484

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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. Sara Cummings Bertoch allows following entities to bill medicare on her behalf.
Entity NameGenesis Rehabilitation Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912947748
PECOS PAC ID: 4284664954
Enrollment ID: O20071026000121

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Entity NameBaptist Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767

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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. Sara Cummings Bertoch 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 AddressPractice Location Address
Sara Cummings Bertoch, PHD
Po Box 748519,
Atlanta, GA 30374-8519

Ph: (904) 376-3800
Sara Cummings Bertoch, PHD
820 Prudential Dr Ste 510,
Jacksonville, FL 32207-8207

Ph: (904) 376-3800

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Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 5251 Emerson St, Jacksonville, FL 32207
Phone: 904-399-0324    Fax: 904-399-0420
Rebecca Marie Tuttle,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225
Phone: 305-586-6044    
Dr. Marisa Victoria Byles, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223
Phone: 904-515-3503    
Antionette Jarshawn Miller-maultsby,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208
Phone: 904-352-0066    
Dr. Brittany Cannon, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216
Phone: 904-419-7792    
Dr. Tanis Jill Ferman, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Dwight David Hart, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2080 Child St, Jacksonville, FL 32214
Phone: 904-542-3473    Fax: 904-542-7662

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