Nicole Bertram, PA - Medicare Physician Assistant in Jbsa Lackland, TX

Nicole Bertram, PA is a medicare enrolled "Physician Assistant" in Jbsa Lackland, Texas. She went to San Juan Bautista School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice M Reza Mizani Md Pa and her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-5000.

Nicole Bertram is licensed to practice in Texas (license number PA17014) 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 1073299236.

Contact Information

Nicole Bertram, PA
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
(210) 292-5000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Bertram
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location1100 Wilford Hall Loop, Jbsa Lackland, Texas
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:
  • Nicole Bertram attended and graduated from San Juan Bautista School Of Medicine in 2023
  NPI Data:
  • NPI Number: 1073299236
  • Provider Enumeration Date: 06/23/2023
  • Last Update Date: 04/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3072962968
  • Enrollment ID: I20231218003524

Medical Identifiers

Medical identifiers for Nicole Bertram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073299236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17014 (Texas)Primary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M Reza Mizani Md Pa529470968929

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. Nicole 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 AddressPractice Location Address
Nicole Bertram, PA
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-5000
Nicole Bertram, PA
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-5000

Reviews and Comments


Physician Assistant Nurses in Jbsa Lackland, TX

Jared Ross Taylor, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-4774    
Aaron Caldwell, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-7809    
Minh Tran, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-0515    
Dr. Mary A Webb, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-565-4112    
Ifeanyi Nelson Eke,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-7348    
Courtlyn Burgess, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-4277    

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.