Karl Berger, MD - Medicare Pediatrics in Johnstown, PA

Karl Berger, MD is a medicare enrolled "Pediatrics" physician in Johnstown, Pennsylvania. His current practice location is 1141 Franklin St, Franklin Street Pediatrics, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 536-8956.

Karl Berger is licensed to practice in Pennsylvania (license number MD016219E) 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 1083661417.

Contact Information

Karl Berger, MD
1141 Franklin St, Franklin Street Pediatrics,
Johnstown, PA 15905
(814) 536-8956
(814) 539-6601

Map and Direction




Physician's Profile

Full NameKarl Berger
GenderMale
SpecialityPediatrics
Location1141 Franklin St, Johnstown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083661417
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 06/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4880875129
  • Enrollment ID: I20110221000456

Medical Identifiers

Medical identifiers for Karl Berger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083661417NPI-NPPES
0006096710001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD016219E (Pennsylvania)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. Karl Berger allows following entities to bill medicare on his behalf.
Entity NameDlp Conemaugh Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522
Entity NameDlp Conemaugh Memorial Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669873881
PECOS PAC ID: 8022238682
Enrollment ID: O20141015000769

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. Karl 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
Karl Berger, MD
1086 Franklin St,
Johnstown, PA 15905-4305

Ph: (814) 410-8300
Karl Berger, MD
1141 Franklin St, Franklin Street Pediatrics,
Johnstown, PA 15905

Ph: (814) 536-8956

Reviews and Comments


Pediatrics Doctors in Johnstown, PA

Dr. Venkata R Dharbhamulla, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-536-8969    Fax: 814-536-7180
Ms. Linsey Joy Donoughe, PA-C
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9794    Fax: 814-534-3479
Johnnie Wilson Barto, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 323 Budfield St, Johnstown, PA 15904
Phone: 814-262-9500    Fax: 814-262-7303
Stephanie Ann Porter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 323 Budfield St, Johnstown, PA 15904
Phone: 814-262-9500    Fax: 814-262-9142
Michelle R Sredy, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-266-8840    Fax: 814-266-2176
Dr. Bradley Russell Drennen, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-266-8840    Fax: 814-266-2176

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.