| Dr Suzanne K Berman, MD | |
|
3234 Miller Ave, Crossville, TN 38555-6116 | |
| (931) 707-8700 | |
| (931) 456-0802 |
| Full Name | Dr Suzanne K Berman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3234 Miller Ave, Crossville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245204940 | NPI | - | NPPES |
| 3899115 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD34547 (Tennessee) | Primary |
| Entity Name | Plateau Pediatrics Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043285729 PECOS PAC ID: 2264515444 Enrollment ID: O20150729008517 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzanne K Berman, MD 3234 Miller Ave, Crossville, TN 38555-6116 Ph: (931) 707-8700 | Dr Suzanne K Berman, MD 3234 Miller Ave, Crossville, TN 38555-6116 Ph: (931) 707-8700 |
Robert J Berman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3234 Miller Avenue, Crossville, TN 38555 Phone: 931-707-8700 Fax: 931-456-0802 | |
Lauren Elizabeth Fox-bergvin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3234 Miller Ave, Crossville, TN 38555 Phone: 931-707-8700 Fax: 931-456-0802 | |
Christine Reed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3234 Miller Ave, Crossville, TN 38555 Phone: 931-707-8700 Fax: 931-456-0802 | |
Adaya Alexandra Bayless, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3234 Miller Ave, Crossville, TN 38555 Phone: 865-244-0927 Fax: 931-456-0802 |