Dr Paul M Berger, MD - Medicare Urology in Allentown, PA

Dr Paul M Berger, MD is a medicare enrolled "Urology" physician in Allentown, Pennsylvania. He went to University Of Maryland School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice St Luke's Physician Group Inc, Gslpg, Inc and his current practice location is 5018 Medical Center Cir, Suite 240, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 876-5649.

Dr Paul M Berger is licensed to practice in Pennsylvania (license number MD058959L) 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 1225027352.

Contact Information

Dr Paul M Berger, MD
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661
(484) 876-5649
(610) 841-3914

Map and Direction




Physician's Profile

Full NameDr Paul M Berger
GenderMale
SpecialityUrology
Experience30 Years
Location5018 Medical Center Cir, Allentown, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Paul M Berger attended and graduated from University Of Maryland School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1225027352
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 02/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6709819451
  • Enrollment ID: I20050914000339

Medical Identifiers

Medical identifiers for Dr Paul M Berger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225027352NPI-NPPES
102267334MedicaidPA
50075231OtherPACAPITAL BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD058959L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Miners Memorial HospitalCoaldale, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital
Geisinger St. Luke's HospitalOrwigsburg, PAHospital
St Luke's Hospital - Anderson CampusEaston, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331727
Gslpg, Inc7810226875218

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 Paul M Berger allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameStar Community Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033686159
PECOS PAC ID: 7618215237
Enrollment ID: O20190206002009
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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 Paul M 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 AddressPractice Location Address
Dr Paul M Berger, MD
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661

Ph: (484) 876-5649
Dr Paul M Berger, MD
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661

Ph: (484) 876-5649

Reviews and Comments


Urology Doctors in Allentown, PA

Kiranpreet Kaur Khurana, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103
Phone: 610-402-6986    Fax: 610-402-4460
Jonathan B Bingham, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103
Phone: 484-884-0617    Fax: 484-884-0628
Dr. Brian P Murphy, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 5018 Medical Center Cir, Suite 101b, Allentown, PA 18106
Phone: 484-876-5649    
Dr. Joseph Pascal, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103
Phone: 610-402-6986    Fax: 610-402-4460
Dr. John Samuel Jaffe, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1605 N Cedar Crest Blvd, Suite 411, Allentown, PA 18104
Phone: 610-969-0199    
Dr. James Robert Johannes, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd, Suite 210, Allentown, PA 18103
Phone: 610-402-6986    Fax: 610-402-1682

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.