Dr Ethan Patrick Berg, DO in Springfield, IL

Dr Ethan Patrick Berg, DO is a medicare enrolled "Family Medicine" physician in Springfield, Illinois. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Board Of Trustees Of Southern Illinois University and his current practice location is 520 N 4th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Dr Ethan Patrick Berg is licensed to practice in Illinois (license number 125071205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831629401.

Contact Information

	Dr Ethan Patrick Berg, DO
	520 N 4th St, Springfield, IL 62702-5238
	(217) 545-8000
	(217) 757-8161

Map and Direction

Physician's Profile

Full Name	Dr Ethan Patrick Berg
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	520 N 4th St, Springfield, 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.

Medical Education and Training:

Dr Ethan Patrick Berg graduated from medical school in 2017

NPI Data:

NPI Number: 1831629401
Provider Enumeration Date: 06/15/2017
Last Update Date: 06/15/2017

Medicare PECOS Information:

PECOS PAC ID: 9234409699
Enrollment ID: I20200513000959

Medical Identifiers

Medical identifiers for Dr Ethan Patrick Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831629401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125071205 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Board Of Trustees Of Southern Illinois University	4486667888	113

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan Patrick Berg allows following entities to bill medicare on his behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan Patrick Berg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ethan Patrick Berg, DO Po Box 19670, Springfield, IL 62794-9670 Ph: () -	Dr Ethan Patrick Berg, DO 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 545-8000

Reviews and Comments

Family Medicine Doctors in Springfield, IL

Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541
Kathryn D Viotto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd Ste 110, Springfield, IL 62704 Phone: 217-588-2600 Fax: 217-862-0904
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541
Mrs. Lacey Dively Moy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 Fax: 217-588-7439
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161

Dr Ethan Patrick Berg, DO - Medicare Family Practice in Springfield, IL