Miss Paige Marie Berdomas, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Colver, Pennsylvania. Her current practice location is
659 6th Street, Colver, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 525-9642.
Miss Paige Marie Berdomas is licensed to practice in Pennsylvania (license number SP025373) 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 1932844016.
Provider's Profile
Full Name | Miss Paige Marie Berdomas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 659 6th Street, Colver, Pennsylvania |
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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: 1932844016
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 05/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395100697
- Enrollment ID: I20230420000090
Medical Identifiers
Medical identifiers for Miss Paige Marie Berdomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932844016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP025373 (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. Miss Paige Marie Berdomas allows following entities to bill medicare on her behalf.
Entity Name | Indiana Healthcare Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
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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. Miss Paige Marie Berdomas 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 |
Miss Paige Marie Berdomas, CRNP Po Box 117, Colver, PA 15927-0117 Ph: () - | Miss Paige Marie Berdomas, CRNP 659 6th Street, Colver, PA 15927 Ph: (814) 525-9642 |
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