Kelly Berg, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Tavares, Florida. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Hospital Healthcare Partners, Inc and her current practice location is
1000 Waterman Way, Tavares, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 253-3333.
Kelly Berg is licensed to practice in Florida (license number PA9114955) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013659937.
Physician's Profile
| Full Name | Kelly Berg |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1000 Waterman Way, Tavares, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Berg graduated from medical school in 2021
NPI Data:
- NPI Number: 1013659937
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 04/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163800491
- Enrollment ID: I20220527001182
Medical Identifiers
Medical identifiers for Kelly Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013659937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | PA9114955 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9114955 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Hospital Healthcare Partners, Inc | 7012266836 | 269 |
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. Kelly Berg 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 |
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Kelly Berg, PA-C
1000 Waterman Way,
Tavares, FL 32778-5266
Ph: () - | Kelly Berg, PA-C
1000 Waterman Way,
Tavares, FL 32778-5266
Ph: (352) 253-3333 |
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