Ms Kendall Berghofer, AGPCNP-BC in Dearborn, MI

Ms Kendall Berghofer, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Dearborn, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ma Sobh Do Plc and her current practice location is 904 Mason St, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 586-7525.

Ms Kendall Berghofer is licensed to practice in Michigan (license number 4704343522NSA2204R) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215682448.

Contact Information

	Ms Kendall Berghofer, AGPCNP-BC
	904 Mason St, Dearborn, MI 48124-2215
	(313) 586-7525
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kendall Berghofer
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	904 Mason St, Dearborn, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kendall Berghofer graduated from nursing school in 2021

NPI Data:

NPI Number: 1215682448
Provider Enumeration Date: 02/16/2022
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9537556717
Enrollment ID: I20220419001553

Medical Identifiers

Medical identifiers for Ms Kendall Berghofer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215682448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	4704343522NSA2204R (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Dearborn	Dearborn, MI	Hospital
Beaumont Hospital - Taylor	Taylor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ma Sobh Do Plc	4385876689	3

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. Ms Kendall Berghofer allows following entities to bill medicare on her behalf.

Entity Name	Ma Sobh Do Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568889376 PECOS PAC ID: 4385876689 Enrollment ID: O20140421002120

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. Ms Kendall Berghofer 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
Ms Kendall Berghofer, AGPCNP-BC 904 Mason St, Dearborn, MI 48124-2215 Ph: (734) 664-7608	Ms Kendall Berghofer, AGPCNP-BC 904 Mason St, Dearborn, MI 48124-2215 Ph: (313) 586-7525

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Ms Kendall Berghofer, AGPCNP-BC - Medicare Nurse Practitioner in Dearborn, MI