Active NPI
Madeline Dorothy Bertsch
- Physician Assistant
- Spring Hill, FL
National Provider Identifier
1295324937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117562
- Practice address
- 3378 Mariner Blvd
Spring Hill, FL 34609-2460 - Phone
- (352) 796-7171
- Fax
- (352) 556-4889
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA9117562 | FL | Primary |
Addresses
Primary practice location
3378 Mariner Blvd
Spring Hill, FL 34609-2460
Mailing address
3378 Mariner Blvd
Spring Hill, FL 34609-2460
Phone (352) 796-7171
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Healthcare LLC | Current | Accepting new patients |
Locations
3378 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 796-7171
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJHGCA/Endpoint/HJHGCA
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.
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1942557848
-
- Primary Care Clinic/Center
- Honolulu, HI
- NPI 1073190252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1295324937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3378 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092460",
"telephone_number": "352-796-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3378 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092460",
"telephone_number": "352-796-7171",
"fax_number": "352-556-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "MADELINE",
"middle_name": "DOROTHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.