Nicola Kim Berman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. Her current practice location is
550 1st Ave, Nyu Langone Medical Center, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 263-5506.
Nicola Kim Berman is licensed to practice in Pennsylvania (license number MT202892) 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 1063777886.
Physician's Profile
Full Name | Nicola Kim Berman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 550 1st Ave, New York, New York |
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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: 1063777886
- Provider Enumeration Date: 07/09/2012
- Last Update Date: 05/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294000204
- Enrollment ID: I20171002000334
Medical Identifiers
Medical identifiers for Nicola Kim Berman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063777886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MT202892 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT202892 (Pennsylvania) | 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. Nicola Kim Berman allows following entities to bill medicare on her behalf.
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Nicola Kim Berman 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 |
Nicola Kim Berman, MD 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016-6402 Ph: (212) 263-5506 | Nicola Kim Berman, MD 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016-6402 Ph: (212) 263-5506 |
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