Arielle Berman, PT, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Deforest, Wisconsin. Her current practice location is
615 S Main St, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 912-5044.
Arielle Berman is licensed to practice in Wisconsin (license number 13927) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629597505.
Healthcare Provider's Profile
| Full Name | Arielle Berman |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 615 S Main St, Deforest, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629597505
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789950767
- Enrollment ID: I20171018002103
Medical Identifiers
Medical identifiers for Arielle Berman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629597505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 13927 (Wisconsin) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 2033 (Wisconsin) | Secondary |
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. Arielle Berman allows following entities to bill medicare on her behalf.
| Provider Name | Athletico Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821085028
PECOS PAC ID: 4789602681
Enrollment ID: O20100913000433 |
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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. Arielle Berman 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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Arielle Berman, PT, DPT, ATC
2122 York Rd Ste 300,
Oak Brook, IL 60523-1925
Ph: (630) 575-1980 | Arielle Berman, PT, DPT, ATC
615 S Main St,
Deforest, WI 53532-1421
Ph: (608) 912-5044 |
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