Mr Dominick S Berg, PC in Ontario, OH - Medicare Counselor Provider

Mr Dominick S Berg, PC is a medicare enrolled "Counselor - Professional" provider in Ontario, Ohio. His current practice location is 1404 Park Ave W Ste 2, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 522-6191.

Mr Dominick S Berg is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932525201.

Contact Information

	Mr Dominick S Berg, PC
	1404 Park Ave W Ste 2, Ontario, OH 44906-2719
	(419) 522-6191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dominick S Berg
Gender	Male
Speciality	Counselor - Professional
Location	1404 Park Ave W Ste 2, Ontario, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932525201
Provider Enumeration Date: 03/11/2014
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6800336215
Enrollment ID: I20240912001677

Medical Identifiers

Medical identifiers for Mr Dominick S Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932525201	NPI	-	NPPES
0297823	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Dominick S Berg allows following entities to bill medicare on his behalf.

Entity Name	Third Street Community Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669158838 PECOS PAC ID: 2365423977 Enrollment ID: O20230807001755

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dominick S Berg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dominick S Berg, PC 1404 Park Ave W Ste 2, Ontario, OH 44906-2719 Ph: (419) 522-6191	Mr Dominick S Berg, PC 1404 Park Ave W Ste 2, Ontario, OH 44906-2719 Ph: (419) 522-6191

Reviews and Comments

Counselor in Ontario, OH

Edward Fitch, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906 Phone: 904-755-4997
Mrs. Teresa L Davis, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 Park Ave W, Ontario, OH 44906 Phone: 419-529-4420 Fax: 419-529-4677
James Costa, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906 Phone: 904-755-4997
Mrs. Debra Strong, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St, Ontario, OH 44906 Phone: 419-521-9004
Miles Timothy Brown, SPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1404 Park Ave W Ste 2, Ontario, OH 44906 Phone: 419-522-6191
Rex Alan Taylor, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906 Phone: 904-755-4997
Jory Parton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906 Phone: 904-755-4997

Mr Dominick S Berg, PC - Medicare Counselor in Ontario, OH