| Dr Evan Berg, DO | |
|
3559 Pine St, Deckerville, MI 48427-7703 | |
| (810) 376-2835 | |
| Not Available |
| Full Name | Dr Evan Berg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 3559 Pine St, Deckerville, Michigan |
| 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 |
|---|---|---|---|
| 1811425226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101023211 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Mclaren Caro Region | Caro, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Hospital Group | 2365968351 | 346 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Deckerville Community Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164540555 PECOS PAC ID: 2163508821 Enrollment ID: O20110523000767 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Berg, DO 450 Miller Ave Apt 203, Rochester, MI 48307-6649 Ph: () - | Dr Evan Berg, DO 3559 Pine St, Deckerville, MI 48427-7703 Ph: (810) 376-2835 |
Pany Decossard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3559 Pine Street, Deckerville, MI 48427 Phone: 810-376-2835 Fax: 810-376-9713 |