Kirk Bergmark, APRN,CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Orland Park, Illinois. He graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). He is a member of the group practice Central Dupage Physician Group and his current practice location is
15300 West Ave, Suite 313, Orland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 923-7878.
Kirk Bergmark is licensed to practice in Illinois (license number 277000284) 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 1851346654.
Provider's Profile
| Full Name | Kirk Bergmark |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 27 Years |
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| Location | 15300 West Ave, Orland Park, Illinois |
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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. |
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Medical Education and Training:
- Kirk Bergmark graduated from nursing school in 1998
NPI Data:
- NPI Number: 1851346654
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 01/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446486229
- Enrollment ID: I20131127000427
Medical Identifiers
Medical identifiers for Kirk Bergmark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851346654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277.000284 (Illinois) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 277000284 (Illinois) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 277000284 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Dupage Physician Group | 5890696231 | 977 |
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. Kirk Bergmark allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Kirk Bergmark 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 |
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Kirk Bergmark, APRN,CNS
12251 S 80th Ave Ste 202,
Palos Heights, IL 60463-1290
Ph: (708) 923-7878 | Kirk Bergmark, APRN,CNS
15300 West Ave, Suite 313,
Orland Park, IL 60462-4600
Ph: (708) 923-7878 |
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