| Barry Berch, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-5050 | |
| Not Available |
| Full Name | Barry Berch |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124175013 | NPI | - | NPPES |
| 02880728 | Medicaid | MS | |
| 170338 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 32773 (Oklahoma) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 20556 (Mississippi) | Primary |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Berch, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2940 | Barry Berch, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5050 |
Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322 | |
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962 | |
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978 | |
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439 | |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. James Randal Bridges, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |