Bertha Koomson, - Medicare Pediatrics in Washington, DC

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Bertha Koomson, is a medicare enrolled "Pediatrics" physician in Washington, District Of Columbia. Her current practice location is 4910 Massachusetts Ave Nw, #217, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 244-1553.

Bertha Koomson is licensed to practice in District Of Columbia (license number CS9810758) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063445856.

Contact Information

Bertha Koomson,
4910 Massachusetts Ave Nw, #217,
Washington, DC 20016-4300
(202) 244-1553
(202) 244-2192

Map and Direction




Physician's Profile

Full NameBertha Koomson
GenderFemale
SpecialityPediatrics
Location4910 Massachusetts Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063445856
  • Provider Enumeration Date: 07/08/2006
  • Last Update Date: 02/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7113074667
  • Enrollment ID: I20090420000605

Medical Identifiers

Medical identifiers for Bertha Koomson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063445856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics CS9810758 (District Of Columbia)Primary
207P00000XEmergency Medicine D56918 (Maryland)Secondary

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. Bertha Koomson allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NamePrivia Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164874426
PECOS PAC ID: 3274801139
Enrollment ID: O20170616001775

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. Bertha Koomson 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 AddressPractice Location Address
Bertha Koomson,
4910 Massachusetts Ave Nw, #217,
Washington, DC 20016-4300

Ph: (202) 244-1553		Bertha Koomson,
4910 Massachusetts Ave Nw, #217,
Washington, DC 20016-4300

Ph: (202) 244-1553

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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