Theresa A Biemer, P.A-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101894 Issued in FL

Practice address

1420 SW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1709

Phone

(888) 769-5408

Fax

(772) 324-6440

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305
  Medicare reassignment
• Harbour ENT

  • Specialist
  • Palm Beach Gardens, FL
  • NPI 1487675658
  NPD (past)
• Housecalls Express Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Stuart, FL
  • NPI 1346349958
  NPD (past)
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1982716353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD",
            "address_2": "STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "888-769-5408",
            "fax_number": "772-324-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "888-769-5408",
            "fax_number": "772-324-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 N Alafaya Trl Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328264753",
            "country_code": "US",
            "telephone_number": "888-769-5408",
            "fax_number": "772-324-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIEMER",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "PA9101894",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "PA9101894",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "P62437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "VAUPP",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12697304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty a Zondag, OD, PA
• Bex Lab, LLC
• Beyond Chiropractics
• Becky L Beyor
• Leelan Nicholas Michael Bhagwandeen, PSYD
• Beyonce Stephy Bien-Aime
• Jeffrey Daniel Bien, PA-C
• Natasha Bienaime, NP
• Bienestar Medical Center Corp
• Bilingual Key Therapy, Inc

• Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.