| Daniel G Bercu, DO | |
|
80 Hospital Dr, Barbourville, KY 40906-7363 | |
| (606) 546-4175 | |
| Not Available |
| Full Name | Daniel G Bercu |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 80 Hospital Dr, Barbourville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710926456 | NPI | - | NPPES |
| 000000388887 | Other | KY | BCBS |
| 009938016 | Medicaid | AL | |
| 3319479 | Medicaid | TN | |
| 4102763 | Other | TN | BCBS |
| 64023666 | Medicaid | KY | |
| 009941836 | Medicaid | AL | |
| P00235725 | Other | TN | RAILROAD MEDICARE |
| P00358034 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 1660 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 02366 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120127000382 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Entity Name | Erx Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20171226001498 |
| Entity Name | Lauderdale Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962034272 PECOS PAC ID: 9830505023 Enrollment ID: O20210422000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel G Bercu, DO 505 Church St Apt 2402, Nashville, TN 37219-3614 Ph: (615) 981-2945 | Daniel G Bercu, DO 80 Hospital Dr, Barbourville, KY 40906-7363 Ph: (606) 546-4175 |