Kelly Berg, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Tavares, Florida. 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 | |
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Experience | 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. |
Medical Education and Training:
- Kelly Berg attended and graduated from in
NPI Data:
- NPI Number: 1013659937
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 04/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013659937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | PA9114955 (Florida) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA9114955 (Florida) | Primary |
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 |
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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