| Dr Jeffrey William Berg, MD | |
|
1169 Eastern Pkwy Ste 2211, Louisville, KY 40217-1444 | |
| (502) 635-2775 | |
| (502) 371-0475 |
| Full Name | Dr Jeffrey William Berg |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 43 Years |
| Location | 1169 Eastern Pkwy Ste 2211, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1376506022 | NPI | - | NPPES |
| 4466067 | Other | KY | AETNA |
| 64225816 | Medicaid | KY | |
| 000000112276 | Other | KY | BC/BS |
| 2436583000 | Other | KY | PASSPORT ADVANATGE |
| 9237372003 | Other | KY | CIGNA |
| 050071439 | Other | KY | MEDICARE RR |
| 164269100 | Other | KY | DEPT OF LABOR |
| 731879 | Other | KY | FIRST HEALTH WORKMANS COM |
| PASSPORT | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 22581 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Consultants, Llc | 7416908009 | 2 |
| Entity Name | Pain Management Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780745596 PECOS PAC ID: 7416908009 Enrollment ID: O20050201000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey William Berg, MD Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Dr Jeffrey William Berg, MD 1169 Eastern Pkwy Ste 2211, Louisville, KY 40217-1444 Ph: (502) 635-2775 |
Amy Lee Delk, APRN Pain Medicine Medicare: Medicare Enrolled Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202 Phone: 502-804-5495 Fax: 833-563-1715 | |
Lady Christine Lim Ong Sio, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215 Phone: 502-815-7336 Fax: 502-815-7337 | |
Brigid M Buckman, ARNP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223 Phone: 502-253-6625 Fax: 502-253-6629 | |
Ricky Stanley Collis, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Suite 250, Louisville, KY 40202 Phone: 502-589-4765 Fax: 502-589-4799 | |
Konrad Kijewski, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207 Phone: 502-897-1794 Fax: 502-897-3852 | |
Dr. Teekam Ochani, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Zorn Ave, Robley Rex Va Medical Center Gec (11g), Louisville, KY 40206 Phone: 502-287-5187 | |
Mr. Bill Walker Haney, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205 Phone: 502-708-9880 Fax: 502-708-6911 |