David Eugene Bertler, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in De Pere, Wisconsin. His current practice location is
1400 Scheuring Rd, De Pere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 683-5278.
David Eugene Bertler is licensed to practice in Wisconsin (license number 29339020) 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 1083657555.
Physician's Profile
| Full Name | David Eugene Bertler |
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| Gender | Male |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 1400 Scheuring Rd, De Pere, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083657555
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587607684
- Enrollment ID: I20050609000565
Medical Identifiers
Medical identifiers for David Eugene Bertler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083657555 | NPI | - | NPPES |
| 29339-020 | Other | WI | STATE LICENSE |
| 382000019 | Other | WI | MEDICARE |
| 32318400 | Medicaid | WI | |
| P00218264 | Other | WI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 29339020 (Wisconsin) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 29339020 (Wisconsin) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 29339020 (Wisconsin) | Primary |
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. David Eugene Bertler 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 |
|---|
David Eugene Bertler, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | David Eugene Bertler, MD
1400 Scheuring Rd,
De Pere, WI 54115-1067
Ph: (920) 683-5278 |
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