Michael Bertagnolli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101818 Issued in FL

Practice address

8333 N Davis Hwy
Pensacola, FL 32514-6050

Phone

(850) 474-8300

Fax

(850) 474-8654

NPI assigned

May 27, 2005

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Medical Center Clinic PAGroup PAC ID 7416860705, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093
• Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michaelbertagnolli@medcenterclinic.direct.emds.com

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

• West Florida Medical Center Clinic, PA

  dba Medical Center Clinic

  • Multi-Specialty Clinic/Center
  • Pensacola, FL
  • NPI 1568452688
  Medicare reassignment Care Compare group NPD
• West Florida Medical Center Clinic PA

  dba Medical Center Clinic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Hma Santa Rosa Medical Center LLC

  dba Santa Rosa Medical Center

  • General Acute Care Hospital
  • Milton, FL
  • NPI 1528015302
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  dba Ascension Sacred Heart Pensacola

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1427051010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8300",
            "fax_number": "850-474-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTAGNOLLI",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291185000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berryhill Medical PL
• Justin Berryman, ATC
• Robert A Berryman, M.A., BCBA
• Adrian Reyes Bersabe, M.D.
• Christian Bersamina
• Robert Vincent Berteau, LCSW
• Anna Marie Bertolucci, RN
• Emily E. Bertsch, MSN, APRN, FNP-C
• Gina Arline Bertuglia, D.D.S.
• Peggy Besch, LMHC

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.