Angelique Marie Berens, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Marysville, Washington. She went to Wayne State University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Optum Care Washington Pllc and her current practice location is
2901 174th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at
(604) 541-9413.
Angelique Marie Berens is licensed to practice in Washington (license number MD60685509) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861768582.
Physician's Profile
| Full Name | Angelique Marie Berens |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 13 Years |
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| Location | 2901 174th St Ne, Marysville, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angelique Marie Berens attended and graduated from Wayne State University School Of Medicine in 2012
NPI Data:
- NPI Number: 1861768582
- Provider Enumeration Date: 03/27/2012
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931429958
- Enrollment ID: I20191011000516
Medical Identifiers
Medical identifiers for Angelique Marie Berens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861768582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A154468 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | MD60685509 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optum Care Washington Pllc | 6406752153 | 559 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelique Marie Berens allows following entities to bill medicare on her behalf.
| Entity Name | Optum Care Washington Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelique Marie Berens is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Angelique Marie Berens, MD
Po Box 5127,
Everett, WA 98206-5127
Ph: (360) 454-1941 | Angelique Marie Berens, MD
2901 174th St Ne,
Marysville, WA 98271-4743
Ph: (604) 541-9413 |
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