Kelly Berg, PA-C - Medicare Physician Assistant in Tavares, FL

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Kelly Berg, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Tavares, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Hospital Healthcare Partners, Inc, Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp and her current practice location is 1000 Waterman Way, Tavares, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 253-3333.

Kelly Berg is licensed to practice in Florida (license number PA9114955) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013659937.

Contact Information

Kelly Berg, PA-C
1000 Waterman Way,
Tavares, FL 32778-5266
(352) 253-3333
Not Available

Map and Direction




Provider's Profile

Full NameKelly Berg
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location1000 Waterman Way, Tavares, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Berg graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1013659937
  • Provider Enumeration Date: 04/11/2022
  • Last Update Date: 04/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163800491
  • Enrollment ID: I20220527001182

Medical Identifiers

Medical identifiers for Kelly Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013659937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA9114955 (Florida)Primary
207X00000XOrthopaedic Surgery PA9114955 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth WatermanTavares, FLHospital
Edgewater At Waterman VillageMount dora, FLNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Hospital Healthcare Partners, Inc7012266836621
Ability Health Services, Inc40825233291249
Ability Health Services And Rehabilitation Lp49819862881260

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. Kelly Berg allows following entities to bill medicare on her behalf.
Entity NameRonald Aung-din, M.D., P.A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053500124
PECOS PAC ID: 8224018536
Enrollment ID: O20040726000459
Entity NameFlorida Hospital Healthcare Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780100529
PECOS PAC ID: 7012266836
Enrollment ID: O20180831000335

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. Kelly Berg 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
Kelly Berg, PA-C
1000 Waterman Way,
Tavares, FL 32778-5266

Ph: Not Available		Kelly Berg, PA-C
1000 Waterman Way,
Tavares, FL 32778-5266

Ph: (352) 253-3333

Reviews and Comments


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Aryn Patrice Mulholland, PA-C
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Mr. Rohan Dharmaratnam, PA-C
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Richard Olton, PA-C
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Anjali Patel, PA
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Practice Location: 3310 Waterman Way, Tavares, FL 32778
Phone: 352-343-1216    

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.