Jennifer Marie Berger-vernace, DO is a medicare enrolled "Pediatrics" physician in Fountain, Colorado. Her current practice location is
350 Lyckman Drive, Fountain, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 632-5700.
Jennifer Marie Berger-vernace is licensed to practice in Colorado (license number DR0072297) 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 1114275021.
Physician's Profile
Full Name | Jennifer Marie Berger-vernace |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 350 Lyckman Drive, Fountain, Colorado |
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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: 1114275021
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385893452
- Enrollment ID: I20240215000552
Medical Identifiers
Medical identifiers for Jennifer Marie Berger-vernace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114275021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | OS13413 (Florida) | Secondary |
208000000X | Pediatrics | DR0072297 (Colorado) | Primary |
208000000X | Pediatrics | 20A12405 (California) | 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. Jennifer Marie Berger-vernace allows following entities to bill medicare on her behalf.
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
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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. Jennifer Marie Berger-vernace 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 |
Jennifer Marie Berger-vernace, DO 285 Se 5th Ave, Delray Beach, FL 33483-5206 Ph: (561) 272-8991 | Jennifer Marie Berger-vernace, DO 350 Lyckman Drive, Fountain, CO 80817-2861 Ph: (719) 632-5700 |
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