Individual provider Active NPI

Geraldine Susan Shaw Bichier, MD

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1235308941
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82782 Issued in FL
Practice address
4200 NW 90TH Blvd
Haven Hospice
Gainesville, FL 32606
Phone
(352) 378-2121
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82782 FL Primary

Addresses

Primary practice location

4200 NW 90TH Blvd
Haven Hospice
Gainesville, FL 32606

Mailing address

PO Box 5876
Gainesville, FL 32627-5876
Phone (352) 378-2121

Other identifiers 1

IdentifierTypeStateIssuer
020221900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718003725 FL Practitioner - Hospice/Palliative Care 4082984430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Group, LLC CurrentSince Mar 1, 2017 Accepting new patients
Abode Hospice of Florida, LLC Past Accepting new patients

Locations

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1235308941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5876",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326275876",
            "telephone_number": "352-378-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "address_2": "HAVEN HOSPICE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-378-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICHIER",
        "first_name": "GERALDINE",
        "middle_name": "SUSAN SHAW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020221900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.