Bienvenido Samera, M.D., P.A.
Individual provider Active NPI Family Medicine Physician · Branford, FL
NPI 1639199243 · NPPES record last updated Jul 16, 2010
Key facts
- NPI
- 1639199243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME0028682 (FL)
- Practice address
- 303 Suwannee Ave
Branford, FL 32008-0846 - Phone
- (386) 935-1093
- Fax
- (386) 935-3113
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
303 Suwanee Ave
Branford, FL 32008-0846
303 Suwannee Ave NW
Branford, FL 32008-3275
Phone (386) 935-1093
Hospital & facility affiliations
- Concierge Home Care
- HCA Florida Healthcare at Home
- HCA Florida Lake City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110328000308 | FL | Practitioner - Family Practice | 9638352719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0028682 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienvenido M. Samera, M.D., P.a. | Family Medicine | Current |
Accepting new patients |
Locations
303 Suwannee Ave NW
Branford, FL 32008
Phone (386) 935-1093
303 Suwannee Ave NW
#303
Branford, FL 32008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0028682 | FL | Yes |
Addresses
Primary practice location
303 Suwannee Ave
Branford, FL 32008-0846
Mailing address
PO Box 846
Branford, FL 32008-0846
Phone (386) 935-1093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038392900 | Medicaid | FL |
Other providers in Branford, FL
- Kristin Hope McIntosh
- Melanie L Kemmerer, DMD, PLLC
- North Florida Pharmacy of Branford Inc
- Jessie L Peterson
- Stephanie Danielle Ruise
- Scott B. Samera, DPM, PA, LLC
- Rodney Lee Scyphers
- Kali Sharpe
- Darya Smith
- Gigi Yvette Smoak
All providers in Branford, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.