CARMEL BERGLIN P.A.
NPI 1619971959
Physician Assistant - Surgical in Dakota Dunes, SD
About Carmel Berglin P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEL BERGLIN P.A. (NPI 1619971959) is an individual surgical provider in Dakota Dunes, South Dakota, licensed in South Dakota (0556) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Star Valley Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carmel Berglin P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Star Valley Medical Center
Critical Access Hospitals · Afton, WYReferred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAKOTA DUNES, SD 57049
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carmel Berglin's NPI number?
The NPI number for Carmel Berglin is 1619971959. It was assigned to this individual provider in the NPPES registry on June 1, 2005.
Where is Carmel Berglin located?
Carmel Berglin practices at 575 N Sioux Point Rd, Dakota Dunes, SD 57049. The listed phone number is (605) 217-2667.
What is Carmel Berglin's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Carmel Berglin enrolled in Medicare?
Yes. Carmel Berglin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Carmel Berglin accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company and UnitedHealthcare list Carmel Berglin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Carmel Berglin affiliated with any hospitals?
According to CMS data, Carmel Berglin is affiliated with Star Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Carmel Berglin was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
