Scott Berg, DPM | |
350 Miller St Se, Salem, OR 97302-4272 | |
(503) 370-8784 | |
Not Available |
Full Name | Scott Berg |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 13 Years |
Location | 350 Miller St Se, Salem, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972890812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PL60222875 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Hospital | Salem, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
R Tyson Scott Dpm Llc | 1759545858 | 2 |
Provider Name | R Tyson Scott Dpm Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659638872 PECOS PAC ID: 1759545858 Enrollment ID: O20120620000539 |
Mailing Address | Practice Location Address |
---|---|
Scott Berg, DPM 350 Miller St Se, Salem, OR 97302-4272 Ph: (503) 370-8784 | Scott Berg, DPM 350 Miller St Se, Salem, OR 97302-4272 Ph: (503) 370-8784 |
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