Dr Kenneth Alan Berger, MD is a medicare enrolled "Urology" physician in Clarkston, Washington. He went to State University Of New York Downstate Medical Center and graduated in 1999 and has 25 years of diverse experience with area of expertise as Urology. He is a member of the group practice Tri-state Memorial Hospital and his current practice location is
1119 Highland Ave, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 758-5511.
Dr Kenneth Alan Berger is licensed to practice in Washington (license number MD00047873) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366407942.
Physician's Profile
Full Name | Dr Kenneth Alan Berger |
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Gender | Male |
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Speciality | Urology |
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Experience | 25 Years |
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Location | 1119 Highland Ave, Clarkston, Washington |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kenneth Alan Berger attended and graduated from State University Of New York Downstate Medical Center in 1999
NPI Data:
- NPI Number: 1366407942
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 08/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294768479
- Enrollment ID: I20070706000497
Medical Identifiers
Medical identifiers for Dr Kenneth Alan Berger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366407942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MD00047873 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tri-state Memorial Hospital | 4082502422 | 29 |
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. Dr Kenneth Alan Berger allows following entities to bill medicare on his behalf.
Entity Name | Tri-state Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
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Entity Name | Lourdes Hospital Llc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474 |
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Entity Name | Lourdes Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
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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. Dr Kenneth Alan 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 |
Dr Kenneth Alan Berger, MD Po Box 189, Clarkston, WA 99403-0189 Ph: () - | Dr Kenneth Alan Berger, MD 1119 Highland Ave, Clarkston, WA 99403-2836 Ph: (509) 758-5511 |
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