Dr Kenneth R Bergman Jr, MD - Medicare Otolaryngology in Centreville, VA

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Dr Kenneth R Bergman Jr, MD is a medicare enrolled "Otolaryngology" physician in Centreville, Virginia. His current practice location is 14631 Lee Hwy, Ste 413, Centreville, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 385-8222.

Dr Kenneth R Bergman Jr is licensed to practice in Virginia (license number 0101102580) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659349447.

Contact Information

Dr Kenneth R Bergman Jr, MD
14631 Lee Hwy, Ste 413,
Centreville, VA 20121-5824
(703) 385-8222
(703) 832-8809

Map and Direction




Physician's Profile

Full NameDr Kenneth R Bergman Jr
GenderMale
SpecialityOtolaryngology
Location14631 Lee Hwy, Centreville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659349447
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 12/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1254430630
  • Enrollment ID: I20070626000440

Medical Identifiers

Medical identifiers for Dr Kenneth R Bergman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659349447NPI-NPPES
P00406443OtherVARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 0101102580 (Virginia)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. Dr Kenneth R Bergman Jr allows following entities to bill medicare on his behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679591440
PECOS PAC ID: 0042119661
Enrollment ID: O20041115000474
Entity NameBluepoint Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316359292
PECOS PAC ID: 9133444151
Enrollment ID: O20150216001726

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 R Bergman Jr 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
Dr Kenneth R Bergman Jr, MD
14631 Lee Hwy, Ste 413,
Centreville, VA 20121-5824

Ph: (703) 385-8222		Dr Kenneth R Bergman Jr, MD
14631 Lee Hwy, Ste 413,
Centreville, VA 20121-5824

Ph: (703) 385-8222

Reviews and Comments


Otolaryngology Doctors in Centreville, VA


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.