Fredric C Kullberg, MD in Rockford, IL - Medicare Internal Medicine

Fredric C Kullberg, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Rockford, Illinois. His current practice location is 535 Roxbury Rd, Suite B600, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 397-7212.

Fredric C Kullberg is licensed to practice in Illinois (license number 036 062004) 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 1912010273.

Contact Information

	Fredric C Kullberg, MD
	535 Roxbury Rd, Suite B600, Rockford, IL 61107-5076
	(815) 397-7212
	(815) 397-2539

Map and Direction

Physician's Profile

Full Name	Fredric C Kullberg
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	535 Roxbury Rd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912010273
Provider Enumeration Date: 08/17/2006
Last Update Date: 05/04/2016

Medicare PECOS Information:

PECOS PAC ID: 4486753373
Enrollment ID: I20070618000326

Medical Identifiers

Medical identifiers for Fredric C Kullberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912010273	NPI	-	NPPES
101 00574	Other	IL	BLUE CROSS BLUE SHIELD
036 062004	Medicaid	IL
290000247	Other	IL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036 062004 (Illinois)	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. Fredric C Kullberg allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Fredric C Kullberg 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
Fredric C Kullberg, MD 535 Roxbury Rd, Suite B600, Rockford, IL 61107-5076 Ph: (815) 397-7212	Fredric C Kullberg, MD 535 Roxbury Rd, Suite B600, Rockford, IL 61107-5076 Ph: (815) 397-7212

Reviews and Comments

Internal Medicine Doctors in Rockford, IL

Dr. Adekola Abioudun Ashaye, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Prasad K. Kilaru, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000
David R. Mitchell, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000
Dr. Amrutha Mary George, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Rajyalaxmi Mullapudi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Geoffrey Tsaras, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410
Ashley Annly Liou, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-397-7212 Fax: 815-397-2539

Fredric C Kullberg, MD - Medicare Internal Medicine in Rockford, IL