Kyle P Bertram, DO is a medicare enrolled "Emergency Medicine" physician in Northfield, Minnesota. His current practice location is
2000 North Ave, Northfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 646-1000.
Kyle P Bertram is licensed to practice in Minnesota (license number 74100) 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 1003319047.
Physician's Profile
Full Name | Kyle P Bertram |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 2000 North Ave, Northfield, Minnesota |
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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: 1003319047
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567833049
- Enrollment ID: I20230510003286
Medical Identifiers
Medical identifiers for Kyle P Bertram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003319047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 74100 (Minnesota) | 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. Kyle P Bertram allows following entities to bill medicare on his behalf.
Entity Name | Northfield Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417990805 PECOS PAC ID: 2567372998 Enrollment ID: O20031117000052 |
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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. Kyle P Bertram 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 |
Kyle P Bertram, DO 2000 North Ave, Northfield, MN 55057-1498 Ph: () - | Kyle P Bertram, DO 2000 North Ave, Northfield, MN 55057-1697 Ph: (507) 646-1000 |
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