| Dr Frederick Ian Berg, DO | |
|
42 N Saint Joseph Ave Ste 200, Niles, MI 49120-2203 | |
| (269) 684-5447 | |
| Not Available |
| Full Name | Dr Frederick Ian Berg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 42 N Saint Joseph Ave Ste 200, Niles, 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 |
|---|---|---|---|
| 1972815348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | L1783455 (Michigan) | Secondary |
| 208800000X | Urology | 5101018622 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Princeton Community Hospital | Princeton, WV | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Lakeland Hospitals At Niles And St Joseph, Inc | 7517929037 | 123 |
| Princeton Community Hospital Assn. Inc. | 3678482221 | 153 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Mclaren Northern Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Ian Berg, DO 42 N Saint Joseph Ave Ste 200, Niles, MI 49120-2203 Ph: (269) 684-5447 | Dr Frederick Ian Berg, DO 42 N Saint Joseph Ave Ste 200, Niles, MI 49120-2203 Ph: (269) 684-5447 |