Madison Berl, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Washington, District Of Columbia. Her current practice location is
111 Michigan Ave Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 884-5995.
Madison Berl is licensed to practice in District Of Columbia (license number PSY1000342) 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 1417043753.
Healthcare Provider's Profile
Full Name | Madison Berl |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 111 Michigan Ave Nw, Washington, District Of Columbia |
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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: 1417043753
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 11/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 3678675204
- Enrollment ID: I20070228000054
Medical Identifiers
Medical identifiers for Madison Berl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417043753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | PSY1000342 (District Of Columbia) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY1000342 (District Of Columbia) | Primary |
103TC0700X | Psychologist - Clinical | PSY1000342 (District Of Columbia) | 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. Madison Berl allows following entities to bill medicare on her behalf.
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
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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. Madison Berl 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 |
Madison Berl, PHD Po Box 37215, Baltimore, MD 21297-3215 Ph: (202) 476-5995 | Madison Berl, PHD 111 Michigan Ave Nw, Washington, DC 20010-2978 Ph: (202) 884-5995 |
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