Mr Berislav Spahija, MD - Medicare Neurology in Bismarck, ND

Mr Berislav Spahija, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Bismarck, North Dakota. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Sanford Bismarck and his current practice location is 222 N 7th St, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 323-5332.

Mr Berislav Spahija is licensed to practice in Ohio (license number 35077285) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487606067.

Contact Information

Mr Berislav Spahija, MD
222 N 7th St,
Bismarck, ND 58501-4436
(701) 323-5332
Not Available

Map and Direction




Physician's Profile

Full NameMr Berislav Spahija
GenderMale
SpecialityNeurology
Experience35 Years
Location222 N 7th St, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Berislav Spahija graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1487606067
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153398672
  • Enrollment ID: I20120221000688

Medical Identifiers

Medical identifiers for Mr Berislav Spahija such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487606067NPI-NPPES
1047518OtherWVWORKERS COMP
130021621OtherRAILROAD MEDICARE
34190968600OtherOHWORKERS COMP
774691OtherPABS
1510739OtherOHGATEWAY
2260699OtherAETNA
0500696OtherUNITED HEALTHCARE
2150390MedicaidOH
2745739MedicaidOH
6120037000MedicaidWV
P77285OtherHEALTH PLAN UPPER OH VALL
000000142099OtherOHANTHEM
000520339OtherPABCBS
95840OtherQUAL CHOICE
341909686026OtherOHCARESOURCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 35077285 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center BismarckBismarck, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Bismarck9739098575452

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. Mr Berislav Spahija allows following entities to bill medicare on his behalf.
Entity NameSanford Bismarck
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403

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. Mr Berislav Spahija 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
Mr Berislav Spahija, MD
110 E Center St # 2595,
Madison, SD 57042-2908

Ph: (701) 204-1130
Mr Berislav Spahija, MD
222 N 7th St,
Bismarck, ND 58501-4436

Ph: (701) 323-5332

Reviews and Comments


Psychiatry & Neurology Doctors in Bismarck, ND

Dr. Jess A Miller, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5422    Fax: 701-323-8645
Stephanie Ann Lill Miller, MD
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Medicare: Medicare Enrolled
Practice Location: 2830 N Washington St, Bismarck, ND 58503
Phone: 701-323-6000    
Cheryl E Huber, MD
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Practice Location: 1800 E Interstate Ave Ste B, Bismarck, ND 58503
Phone: 701-323-6543    
Gabriela Balf-soran, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3501 Chisholm Trl, Bismarck, ND 58503
Phone: 203-707-0881    Fax: 701-425-0596
Dr. Laura B Schield, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2787 97th Ave Nw, Bismarck, ND 58503
Phone: 701-223-0592    
Dr. Bryon Lee Herbel, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 303 N 4th St, Bismarck, ND 58501
Phone: 701-223-2425    
John Riedinger,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4535 Northern Sky Dr, Bismarck, ND 58503
Phone: 701-323-8700    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.