Ms Kendall Berghofer, AGPCNP-BC - Medicare Nurse Practitioner in Dearborn, MI

Ms Kendall Berghofer, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Dearborn, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ma Sobh Do Plc and her current practice location is 904 Mason St, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 586-7525.

Ms Kendall Berghofer is licensed to practice in Michigan (license number 4704343522NSA2204R) 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 1215682448.

Contact Information

Ms Kendall Berghofer, AGPCNP-BC
904 Mason St,
Dearborn, MI 48124-2215
(313) 586-7525
Not Available

Map and Direction




Provider's Profile

Full NameMs Kendall Berghofer
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location904 Mason St, Dearborn, Michigan
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:
  • Ms Kendall Berghofer graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1215682448
  • Provider Enumeration Date: 02/16/2022
  • Last Update Date: 02/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537556717
  • Enrollment ID: I20220419001553

Medical Identifiers

Medical identifiers for Ms Kendall Berghofer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215682448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 4704343522NSA2204R (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - DearbornDearborn, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ma Sobh Do Plc43858766893

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. Ms Kendall Berghofer allows following entities to bill medicare on her behalf.
Entity NameMa Sobh Do Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568889376
PECOS PAC ID: 4385876689
Enrollment ID: O20140421002120

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. Ms Kendall Berghofer 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
Ms Kendall Berghofer, AGPCNP-BC
904 Mason St,
Dearborn, MI 48124-2215

Ph: (734) 664-7608
Ms Kendall Berghofer, AGPCNP-BC
904 Mason St,
Dearborn, MI 48124-2215

Ph: (313) 586-7525

Reviews and Comments


Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik,
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Phone: 313-271-5565    Fax: 313-271-1053
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Dr. Fatmeh M Barada, DNP, FNP-BC
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Ibtihal Alghanimi,
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Katherine Anne Repp, NP
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Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124
Phone: 313-982-5430    

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.