Caleb James Berg, PMHNP in Saint Louis, MO - Medicare Nurse Practitioner

Caleb James Berg, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Louis, Missouri. His current practice location is 3905 Botanical Ave Apt B, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (618) 623-6661.

Caleb James Berg is licensed to practice in Missouri (license number 2023033096) 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 1144908328.

Contact Information

	Caleb James Berg, PMHNP
	3905 Botanical Ave Apt B, Saint Louis, MO 63110-4054
	(618) 623-6661
	Not Available

Map and Direction

Provider's Profile

Full Name	Caleb James Berg
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3905 Botanical Ave Apt B, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144908328
Provider Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1456706548
Enrollment ID: I20231010001041

Medical Identifiers

Medical identifiers for Caleb James Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144908328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023033096 (Missouri)	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. Caleb James Berg allows following entities to bill medicare on his behalf.

Entity Name	Community And Long-term Care Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699121475 PECOS PAC ID: 4486949773 Enrollment ID: O20160825001678

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. Caleb James Berg 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
Caleb James Berg, PMHNP 3905 Botanical Ave Apt B, Saint Louis, MO 63110-4054 Ph: (618) 623-6661	Caleb James Berg, PMHNP 3905 Botanical Ave Apt B, Saint Louis, MO 63110-4054 Ph: (618) 623-6661

Reviews and Comments

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Caleb James Berg, PMHNP - Medicare Nurse Practitioner in Saint Louis, MO