James Berman, MD - Medicare Pediatrics in Springfield, IL

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James Berman, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Springfield, Illinois. His current practice location is 400 N 9th St Fl 4, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

James Berman is licensed to practice in Illinois (license number 036-077031) 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 1407820731.

Contact Information

James Berman, MD
400 N 9th St Fl 4,
Springfield, IL 62702-5310
(217) 545-8000
(217) 545-1036

Map and Direction




Physician's Profile

Full NameJames Berman
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location400 N 9th St Fl 4, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407820731
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 01/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729047337
  • Enrollment ID: I20070328000437

Medical Identifiers

Medical identifiers for James Berman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407820731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology 036-077031 (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. James Berman allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameLoyola University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336159961
PECOS PAC ID: 3779488903
Enrollment ID: O20031202000027
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameSiu Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769

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. James Berman 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
James Berman, MD
201 E Madison St Ste 328,
Springfield, IL 62702-5131

Ph: (217) 545-8000		James Berman, MD
400 N 9th St Fl 4,
Springfield, IL 62702-5310

Ph: (217) 545-8000

Reviews and Comments


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Dr. Susan M. Soler, M.D.
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Dr. Kimberly Nichole Powell, MD
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Phone: 217-545-8000    Fax: 217-757-6654
John Padanilam,
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Phone: 217-528-7541    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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