Individual ProviderMartha Lucilla BertinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11030 S. W. 167th Street, Miami, FL 33157-2852(305) 254-0574PECOS EnrollmentBased on the most recent information from CMS, provider Martha Lucilla Bertin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780873869Provider TypeIndividualFull NameBertin, Martha LucillaTitleMrs.CredentialARNPGenderFemaleSole ProprietorYesEnumeration Date10/15/2007Last Updated10/15/2007Contact InformationPractice LocationPractice Address11030 S. W. 167th Street, Miami, FL 33157-2852Phone(305) 254-0574Fax(305) 254-0294Mailing LocationMailing Address11031 S.W. 167th Street, Miami, FL 33157-2852Phone(305) 254-0574Fax(305) 254-0294Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 2497252Florida