Anne H Beressi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME100384 Issued in FL

Practice address

1270 N Wickham Rd Ste 50
Melbourne, FL 32935-8939

Phone

(321) 421-7588

Fax

(321) 421-7590

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1386658615
  Medicare reassignment NPD
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1639945892
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669559563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4127",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N WICKHAM RD STE 50",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358939",
            "telephone_number": "321-421-7588",
            "fax_number": "321-421-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "ME",
            "postal_code": "049373314",
            "country_code": "US",
            "telephone_number": "207-861-5000",
            "fax_number": "207-861-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "ME",
            "postal_code": "049373314",
            "country_code": "US",
            "telephone_number": "207-861-5000",
            "fax_number": "207-861-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERESSI",
        "first_name": "ANNE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "015919",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME100384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265790000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022383300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marco Vitor Jose Bensimon, PT
• Brian Wayne Benson, PA-C
• Nykohl Benson
• Steven Garold Bentley, MD
• Arianna Berardi
• Tricia A Beretz, LIC. AC.
• Christie Lynn Berghoff, RCSWI
• Joseph Berisha
• Danny P Berk, MD
• Lori Anne Berk, M.S., LMHC

• Pediatrics Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.