Luke William Berglund, is a medicare enrolled "Physician Assistant" in Winneconne, Wisconsin. He went to Northwestern University Feinberg Medical School and graduated in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Door County Memorial Hospital and his current practice location is
1132 Aster Ln, Winneconne, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 893-3035.
Luke William Berglund is licensed to practice in California (license number PA60232) 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 1336772730.
Provider's Profile
| Full Name | Luke William Berglund |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1132 Aster Ln, Winneconne, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Luke William Berglund attended and graduated from Northwestern University Feinberg Medical School in 2021
NPI Data:
- NPI Number: 1336772730
- Provider Enumeration Date: 02/14/2020
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224428008
- Enrollment ID: I20240523000120
Medical Identifiers
Medical identifiers for Luke William Berglund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336772730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA60232 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Door County Memorial Hospital | 5395735088 | 85 |
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. Luke William Berglund allows following entities to bill medicare on his behalf.
| Entity Name | Door County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093743874
PECOS PAC ID: 5395735088
Enrollment ID: O20040514000588 |
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| Entity Name | Door County Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1093743874
PECOS PAC ID: 5395735088
Enrollment ID: O20061104000697 |
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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. Luke William Berglund 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 |
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Luke William Berglund,
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 743-5566 | Luke William Berglund,
1132 Aster Ln,
Winneconne, WI 54986-9166
Ph: (262) 893-3035 |
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