Kenneth S Bergman, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Gig Harbor, Washington. He went to University Of California, Geffen School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Sound Cancer Care Pllc and his current practice location is
11511 Canterwood Blvd Nw, Suite 50, Gig Harbor, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 851-5155.
Kenneth S Bergman is licensed to practice in Washington (license number MD00030100) 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 1669443032.
Physician's Profile
Full Name | Kenneth S Bergman |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 35 Years |
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Location | 11511 Canterwood Blvd Nw, Gig Harbor, Washington |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth S Bergman attended and graduated from University Of California, Geffen School Of Medicine in 1990
NPI Data:
- NPI Number: 1669443032
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 08/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375520851
- Enrollment ID: I20040701001525
Medical Identifiers
Medical identifiers for Kenneth S Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669443032 | NPI | - | NPPES |
8293987 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | MD00030100 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sound Cancer Care Pllc | 9739443391 | 2 |
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. Kenneth S Bergman allows following entities to bill medicare on his behalf.
Entity Name | Sound Cancer Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487168324 PECOS PAC ID: 9739443391 Enrollment ID: O20180507001141 |
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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. Kenneth S Bergman 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 |
Kenneth S Bergman, MD 314 Mlk Jr Way, Ste 11, Tacoma, WA 98405 Ph: (253) 627-6172 | Kenneth S Bergman, MD 11511 Canterwood Blvd Nw, Suite 50, Gig Harbor, WA 98332-5813 Ph: (253) 851-5155 |
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