Karl J Bertram, MD is a medicare enrolled "Surgery" physician in Ripon, Wisconsin. His current practice location is
835 Parkside St, Ripon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 745-3540.
Karl J Bertram is licensed to practice in Wisconsin (license number 41089) 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 1801868047.
Physician's Profile
| Full Name | Karl J Bertram |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 835 Parkside St, Ripon, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801868047
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032021688
- Enrollment ID: I20100331000226
Medical Identifiers
Medical identifiers for Karl J Bertram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801868047 | NPI | - | NPPES |
| 32557700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 41089 (Wisconsin) | 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. Karl J Bertram allows following entities to bill medicare on his behalf.
| Entity Name | Prairie Ridge Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
|---|
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. Karl J Bertram 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 |
Karl J Bertram, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Karl J Bertram, MD 835 Parkside St, Ripon, WI 54971-8505 Ph: (920) 745-3540 |
Reviews and Comments