Samuel Clark Berngard, MD - Medicare Pulmonary Disease in Boulder, CO

Samuel Clark Berngard, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Boulder, Colorado. He went to University Of Colorado School Of Medicine, Denver and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Boulder Community Health, Legacy Healthcare Services Inc and his current practice location is 4820 Riverbend Rd Ste 100, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-5399.

Samuel Clark Berngard is licensed to practice in Colorado (license number DR.0053721) 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 1265708622.

Contact Information

Samuel Clark Berngard, MD
4820 Riverbend Rd Ste 100,
Boulder, CO 80301-2618
(303) 415-5399
(303) 297-5808



Physician's Profile

Full NameSamuel Clark Berngard
GenderMale
SpecialityPulmonary Disease
Experience12 Years
Location4820 Riverbend Rd Ste 100, Boulder, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Clark Berngard attended and graduated from University Of Colorado School Of Medicine, Denver in 2012
  NPI Data:
  • NPI Number: 1265708622
  • Provider Enumeration Date: 03/29/2012
  • Last Update Date: 05/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759516255
  • Enrollment ID: I20180820002670

Medical Identifiers

Medical identifiers for Samuel Clark Berngard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265708622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease DR.0053721 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder Community HealthBoulder, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boulder Community Health6800707233212
Legacy Healthcare Services Inc21633397222654

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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. Samuel Clark Berngard allows following entities to bill medicare on his behalf.
Entity NameBoulder Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284

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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. Samuel Clark Berngard 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
Samuel Clark Berngard, MD
5450 Western Ave,
Boulder, CO 80301-2709

Ph: (303) 415-5399
Samuel Clark Berngard, MD
4820 Riverbend Rd Ste 100,
Boulder, CO 80301-2618

Ph: (303) 415-5399

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Internal Medicine Doctors in Boulder, CO

Ms. Martha E Montour, RN
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-440-2690    
Chester J Dreiman, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2562 Briarwood Dr, Boulder, CO 80305
Phone: 303-501-2195    
Pamela G Ingram, MSN
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-554-5164    
Bradley D Fanestil, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4801 Riverbend Rd Ste 120b, Boulder, CO 80301
Phone: 303-415-8615    Fax: 303-293-0628
Dr. Joseph Randall Lutt, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1840 Folsom St Ste 105, Boulder, CO 80302
Phone: 720-494-4706    Fax: 720-494-4706
Dr. Amy O Campbell, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304
Phone: 303-327-7047    Fax: 303-443-7168
Wael F. Garas, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303
Phone: 303-415-4250    Fax: 303-440-9629

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