Samantha Berman, M.D.
Individual provider Active NPI Emergency Medicine Physician · Great Falls, MT
NPI 1639616543 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1639616543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 127708 (MT)
- Practice address
- 1101 26TH St S
Great Falls, MT 59405-5161 - Phone
- (406) 731-8888
- Fax
- (406) 731-8318
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benefis Hospitals Inc
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Hospital & facility affiliations
- Benefis Hospitals Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170811002548 | IL | Practitioner - Emergency Medicine | 4486925229 | Reassigns benefits to 2 organizations |
| I20230925003445 | MT | Practitioner - Emergency Medicine | 4486925229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current |
Accepting new patients | |
| Benefis Hospitals, Inc. | Current |
Accepting new patients | |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Rush Oak Park ER Physicians Group | Current |
Accepting new patients |
Locations
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229
75 Remittance Dr
Dept 1620
Chicago, IL 60675
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
Interoperability endpoints
- sberman135553@direct.rush.rush-health.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 127708 | MT | Yes |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405-5161
Mailing address
PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 731-8888
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sberman20972@benefishs.direct-ci.com | Benefis Hospitals Inc |
Other providers in Great Falls, MT
- Mark Benjamin
- Shelley Benzing
- Donald Hall Berdeaux
- Brandi Berg
- Bradford A Bergman
- Brian G. Bertha
- Tarra Laval Betcher
- Beyond Words Coaching and Therapy LLC
- Geeta Bhagia
- Ambuj Bhalla
All providers in Great Falls, MT · Emergency Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.