DANIELLE M BERDAHL MD NPI 1003026493

Obstetrics & Gynecology in Fort Wayne, IN

NPI 1003026493 Individual Female Years of Experience 18 Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Approved Payment

About DANIELLE BERDAHL

Danielle Berdahl is a women's health care provider established in Fort Wayne, Indiana and her medical specialization is obstetrics & gynecology with more than 18 years of experience. The NPI number of Danielle Berdahl is 1003026493 and was assigned on May 2007. The practitioner's primary taxonomy code is 207V00000X with license number 01082943A (IN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

Women's health care providers like Danielle M Berdahl Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Danielle Berdahl is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Danielle Berdahl is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Parkview Regional Medical Center.

NPI

1003026493

Provider Name DANIELLE M BERDAHL MD
Provider Location Address11123 PARKVIEW PLAZA DR STE 204 FORT WAYNE, IN 46845
Provider Mailing Address3702 NEW VISION DR BLDG B FORT WAYNE, IN 46845
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-23-2007
Last Update Date12-04-2019


Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.01082943A
License StateIN
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

DANIELLE M BERDAHL MD
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-8380
Fax: (260) 266-8385

Get Directions


Mailing Address

DANIELLE M BERDAHL MD
3702 NEW VISION DR BLDG B
FORT WAYNE, IN
ZIP 46845
Phone:



Secondary Locations

1836 South Ave
LA Crosse, WI 54601
(608) 782-7300
1836 South Ave
LA Crosse, WI 54601
(608) 782-7300

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2668545708
PECOS Enrollment IDI20191202002046
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Danielle Berdahl is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PARKVIEW REGIONAL MEDICAL CENTER11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845
(260) 266-1000Acute Care Hospitals150021

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology61650WINo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine61650WINo

Taxonomy Description: an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902922644 AMY RENEE KNEPP NP-C
Individual
Nurse Practitioner (Family)11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
(269) 490-6260
1912081811DR. THOMAS A LOSURE DO
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
(260) 266-8380
1851460315DR. MARK A KALCHBRENNER DO
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
(260) 266-8380
1336431139DR. GEOFFREY GORDON M.D.
Individual
Obstetrics & Gynecology11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
(260) 266-8380
1114595725 OLIVIA CLAIRE MCMILLAN GC
Individual
Genetic Counselor, MS11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
(260) 266-8380

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.