| Carly Berg, MD | |
|
875 Wesley St, Arlington, WA 98223-1613 | |
| (360) 435-6525 | |
| (360) 435-2634 |
| Full Name | Carly Berg |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 875 Wesley St, Arlington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336554658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD70007528 (Washington) | Primary |
| 208000000X | Pediatrics | 2014020062 (Missouri) | Secondary |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Berg, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: () - | Carly Berg, MD 875 Wesley St, Arlington, WA 98223-1613 Ph: (360) 435-6525 |
Dr. Doina A Stefan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 875 Wesley St, Suite 130, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 | |
Dr. Krista Gaines Galitsis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 326 S. Stillaguamish Ave., Arlington, WA 98223 Phone: 360-435-2144 Fax: 360-435-9601 | |
Kathleen Gayle De Asis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 903 Medical Center Dr, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 | |
Dr. Rosana Lim Go, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 875 Wesley St, Suite 130, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 | |
Lizette Jamora Antig, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 875 Wesley St Ste 130, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 |