DR. PAUL S BERNSTEIN NPI 1013917962

Internal Medicine (Cardiovascular Disease) in Milwaukee, WI

NPI 1013917962 Individual Male Years of Experience 46 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About PAUL BERNSTEIN

Paul Bernstein is an internal medicine provider established in Milwaukee, Wisconsin and his medical specialization is internal medicine (cardiovascular disease) with more than 46 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1976. The NPI number of Paul Bernstein is 1013917962 and was assigned on July 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 24126 (WI). The provider is registered as an individual and his NPI record was last updated 12 years ago.

An internist like Dr. Paul S Bernstein is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Paul Bernstein 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

Paul Bernstein 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 he has hospital affiliations with Aurora St Lukes Medical Center, Aurora Medical Center Kenosha and Aurora Medical Ctr Oshkosh.

NPI

1013917962

Provider NameDR. PAUL S BERNSTEIN
Provider Location Address2801 W KINNICKINNIC RIVER PKWY 840 MILWAUKEE, WI 53215
Provider Mailing AddressPO BOX 2040 MILWAUKEE, WI 53201
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-21-2005
Last Update Date08-31-2009


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.24126
License StateWI
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. PAUL S BERNSTEIN
2801 W KINNICKINNIC RIVER PKWY
840
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-3530
Fax: (414) 649-3551

Get Directions


Mailing Address

DR. PAUL S BERNSTEIN
PO BOX 2040
MILWAUKEE, WI
ZIP 53201
Phone: (414) 649-3530
Fax: (414) 649-3551



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 ID3678485968
PECOS Enrollment IDI20040318000684
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

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 460Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 125Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 73Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

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. Paul Bernstein is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
AURORA ST LUKES MEDICAL CENTER2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000Acute Care Hospitals520138
AURORA MEDICAL CENTER KENOSHA10400 75TH ST
KENOSHA, WI 53142
(262) 948-5600Acute Care Hospitals520189
AURORA MEDICAL CTR OSHKOSH855 N WESTHAVEN DRIVE
OSHKOSH, WI 54904
(920) 456-6000Acute Care Hospitals520198

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
002040245MEDICARE PIN (08)WI
002004130MEDICARE PIN (08)WI
002046515MEDICARE PIN (08)WI
30383000MEDICAID (05)WI
B51533MEDICARE UPIN (02)WI
002054475MEDICARE PIN (08)WI
002060350MEDICARE PIN (08)WI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598765471DR. STEVEN C PORT MD
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1821098716MR. JEFFREY W JANIKOWSKI PAC
Individual
Physician Assistant (Medical)2801 W KINNICKINNIC RIVER PKWY SUITE 840
MILWAUKEE, WI 53215
(414) 649-3530
1770583643DR. ROBERT L PANTHER M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1881694743DR. ROBERT W NINNEMAN M.D.
Individual
Internal Medicine (Interventional Cardiology)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1700886686DR. BERNARD J STALLER M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY SUITE 840
MILWAUKEE, WI 53215
(414) 649-3530
1013917996DR. PRAKASH D SHAH M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY STE 840
MILWAUKEE, WI 53215
(414) 649-3530
1326048216 DEANN CEELEN PA-C
Individual
Physician Assistant (Medical)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1356340285DR. LISA A BARATTA M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1821098773DR. ANTHONY G LOCURTO
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1881694735DR. MASSOUD MALEKI M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1508866401 LEILA SCHAEFER P.A.-C
Individual
Physician Assistant2801 W KINNICKINNIC RIVER PKWY #1030
MILWAUKEE, WI 53215
(414) 908-6500
1881685998 JULIE ZOLPER PA
Individual
Physician Assistant2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
(414) 384-5111
1346231339DR. ELLIOTT C. SILBAR MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1114918190DR. BARRY H. USOW MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1295726289DR. HAROLD A. JACOBSOHN MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1194709964MR. RICHARD JOHN BATTIOLA M.D.
Individual
Internal Medicine2801 W KINNICKINNIC RIVER PKWY SUITE 730
MILWAUKEE, WI 53215
(414) 649-7202
1861476624MR. AIJAZ AHMED NOOR M.D.
Individual
Internal Medicine2801 W KINNICKINNIC RIVER PKWY SUITE 730
MILWAUKEE, WI 53215
(414) 649-7202
1306825674DR. ROSEMARIE M BRUEGGEMAN MD
Individual
Ophthalmology2801 W KINNICKINNIC RIVER PKWY STE 170
MILWAUKEE, WI 53215
(414) 385-1277
1952380248 RICHARD E LERNOR MD
Individual
Ophthalmology2801 W KINNICKINNIC RIVER PKWY STE 170
MILWAUKEE, WI 53215
(414) 385-1277
1992784250DR. CHARLES B YANG MD
Individual
Ophthalmology2801 W KINNICKINNIC RIVER PKWY STE 170
MILWAUKEE, WI 53215
(414) 385-1277

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.