Mary Ellen Berg, MD in Shreveport, LA - Medicare Ophthalmology

Mary Ellen Berg, MD is a medicare enrolled "Ophthalmology" physician in Shreveport, Louisiana. Her current practice location is 471 Ashley Ridge Blvd, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 795-4770.

Mary Ellen Berg is licensed to practice in Louisiana (license number 019001) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174524391.

Contact Information

	Mary Ellen Berg, MD
	471 Ashley Ridge Blvd, Shreveport, LA 71106
	(318) 795-4770
	(318) 795-4775

Map and Direction

Physician's Profile

Full Name	Mary Ellen Berg
Gender	Female
Speciality	Ophthalmology
Location	471 Ashley Ridge Blvd, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174524391
Provider Enumeration Date: 08/10/2005
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 2466554019
Enrollment ID: I20070228000152

Medical Identifiers

Medical identifiers for Mary Ellen Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174524391	NPI	-	NPPES
123802001	Other	AR	ARKANSAS MEDICAID
1053315846	Other	LA	GROUP MEDICARE NUMBER
1922871	Medicaid	LA
078737601	Other	TX	TEXAS MEDICAID
P00375906	Other	LA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	019001 (Louisiana)	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. Mary Ellen Berg allows following entities to bill medicare on her behalf.

Entity Name	Highland Clinic, A Prof Med Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551

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. Mary Ellen 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
Mary Ellen Berg, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106 Ph: (318) 795-4770	Mary Ellen Berg, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106 Ph: (318) 795-4770

Reviews and Comments

Ophthalmology Doctors in Shreveport, LA

Donald E Texada, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-861-4009 Fax: 318-861-4080
Claude Youngblood Bundrick Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775

Mary Ellen Berg, MD - Medicare Ophthalmology in Shreveport, LA