Dr Kenneth Robert Bergman, MD - Medicare Allergy & Immunology in Centreville, VA

Dr Kenneth Robert Bergman, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Centreville, Virginia. His current practice location is 13890 Braddock Rd, Ste 206, Centreville, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 263-2333.

Dr Kenneth Robert Bergman is licensed to practice in Virginia (license number 0101025702) 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 1013912252.

Contact Information

Dr Kenneth Robert Bergman, MD
13890 Braddock Rd, Ste 206,
Centreville, VA 20121-2437
(703) 263-2333
(703) 263-0361



Physician's Profile

Full NameDr Kenneth Robert Bergman
GenderMale
SpecialityAllergy & Immunology - Allergy
Location13890 Braddock Rd, Centreville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013912252
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517111354
  • Enrollment ID: I20130204000189

Medical Identifiers

Medical identifiers for Dr Kenneth Robert Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013912252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy 0101025702 (Virginia)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. Dr Kenneth Robert Bergman allows following entities to bill medicare on his behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407908817
PECOS PAC ID: 0042119661
Enrollment ID: O20040102000616

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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. Dr Kenneth Robert 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 AddressPractice Location Address
Dr Kenneth Robert Bergman, MD
13890 Braddock Rd, Ste 206,
Centreville, VA 20121-2437

Ph: (703) 263-2333
Dr Kenneth Robert Bergman, MD
13890 Braddock Rd, Ste 206,
Centreville, VA 20121-2437

Ph: (703) 263-2333

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Allergy & Immunology Doctors in Centreville, VA


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