| Daniel P Berg, MD | |
|
163 E Bethalto Dr, Bethalto, IL 62010-1801 | |
| (618) 433-6490 | |
| Not Available |
| Full Name | Daniel P Berg |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 163 E Bethalto Dr, Bethalto, Illinois |
| 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 |
|---|---|---|---|
| 1164817722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036145088 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036145088 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Home Care Services | Saint louis, MO | Home health agency |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Berg, MD 163 E Bethalto Dr, Bethalto, IL 62010-1801 Ph: (618) 433-6490 | Daniel P Berg, MD 163 E Bethalto Dr, Bethalto, IL 62010-1801 Ph: (618) 433-6490 |
Craig Kenneth Harms, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6490 | |
Fay Bagarinao, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-8961 |