Hilari Beth Berklund, PA-C
Individual provider Active NPI Physician Assistant · Winnie, TX
NPI 1376650705 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1376650705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA04727 (TX)
- Practice address
- 538 Broadway
Winnie, TX 77665-7600 - Phone
- (409) 296-6000
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071024000072 | TX | Practitioner - Physician Assistant | 4587750468 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04727 | TX | MD | Physician Assistant |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04727 | TX | Yes |
Addresses
Primary practice location
538 Broadway
Winnie, TX 77665-7600
Mailing address
PO Box 624
Anahuac, TX 77514-0624
Phone (281) 837-0212
Other practice location 1
507 Rollingbrook Dr
Baytown, TX 77521-4036
Phone (281) 837-0212
Other practice location 2
621 S. Ross Sterling
Anahuac, TX 77514-0398
Phone (409) 267-3143
Other providers in Winnie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.