| Dr David John Kersbergen, DO | |
|
2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 | |
| (910) 907-8500 | |
| (910) 907-9630 |
| Full Name | Dr David John Kersbergen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2817 Rock Merritt Ave, Fort Liberty, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497745525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102050143 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 04583 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 2017-00394 (North Carolina) | Primary |
| Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David John Kersbergen, DO 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-8500 | Dr David John Kersbergen, DO 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-8500 |
Dr. Adrienne Elise Coursey, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8246 | |
Jamie A Lovdal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5-4257 Bastogne Street, Fort Liberty, NC 28310 Phone: 910-907-6290 Fax: 910-907-9606 | |
Dr. Kerry Agnello, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4-1830 Normandy Drive, Fort Liberty, NC 28310 Phone: 910-907-6186 | |
Dr. Wesley William Carr, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Dr. Alison B. Freely, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Normandy Drive, #4-1830, Fort Liberty, NC 28307 Phone: 910-643-2561 | |
Joshua Andrew Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 706-544-2041 | |
Christine Renee Dorso, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8519 |