Dawn M Detwiler Berger, MD is a medicare enrolled "Emergency Medicine" physician in Middlebury, Indiana. Her current practice location is
54938 State Road 13, Middlebury, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 825-8685.
Dawn M Detwiler Berger is licensed to practice in Indiana (license number 01045293A) 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 1043210180.
Physician's Profile
Full Name | Dawn M Detwiler Berger |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 54938 State Road 13, Middlebury, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043210180
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 02/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 5991710287
- Enrollment ID: I20060207000932
Medical Identifiers
Medical identifiers for Dawn M Detwiler Berger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043210180 | NPI | - | NPPES |
200123720 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 01045293 (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01045293A (Indiana) | Primary |
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. Dawn M Detwiler Berger allows following entities to bill medicare on her behalf.
Entity Name | Jay County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033115993 PECOS PAC ID: 8921908021 Enrollment ID: O20040122000576 |
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Entity Name | Lafayette Emergency Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
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Entity Name | Community Hospital Of Lagrange County, Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
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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. Dawn M Detwiler Berger 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 |
Dawn M Detwiler Berger, MD 2310 California Road, Elkhart, IN 46514-1228 Ph: (574) 264-4163 | Dawn M Detwiler Berger, MD 54938 State Road 13, Middlebury, IN 46540-8608 Ph: (574) 825-8685 |
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