Simon Bergman, MD in Winston Salem, NC

Simon Bergman, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Simon Bergman is licensed to practice in North Carolina (license number 99-00765) 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 1871577304.

Contact Information

	Simon Bergman, MD
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2255
	(336) 716-7595

Map and Direction

Physician's Profile

Full Name	Simon Bergman
Gender	Male
Speciality	Pathology - Anatomic Pathology
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871577304
Provider Enumeration Date: 11/29/2005
Last Update Date: 08/19/2010

Medicare PECOS Information:

PECOS PAC ID: 6709921067
Enrollment ID: I20100311000224

Medical Identifiers

Medical identifiers for Simon Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871577304	NPI	-	NPPES
88713	Other		MEDCOST
7222325	Other		AETNA
891211X	Medicaid	NC
32153	Other		PARTNERS
1211X	Other		BCBS
9801025000	Medicaid	WV
Q00765	Medicaid	SC
6605176	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	99-00765 (North Carolina)	Primary
207ZC0500X	Pathology - Cytopathology	99-00765 (North Carolina)	Secondary

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. Simon Bergman allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Simon 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
Simon Bergman, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Simon Bergman, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Pathology Doctors in Winston Salem, NC

Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202
Abbott Julian Garvin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607
Graham Parks, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595

Simon Bergman, MD - Medicare Pathology in Winston Salem, NC