Dr Tod L Berg, MD is a medicare enrolled "Family Medicine" physician in Heber, Utah. His current practice location is
1467 S Highway 40, Heber, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 654-6321.
Dr Tod L Berg is licensed to practice in Utah (license number 264477-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497713648.
Physician's Profile
| Full Name | Dr Tod L Berg |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1467 S Highway 40, Heber, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497713648
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 09/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315961513
- Enrollment ID: I20060113000764
Medical Identifiers
Medical identifiers for Dr Tod L Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497713648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 264477-1205 (Utah) | Primary |
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 Tod L Berg allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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 Tod L 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 Tod L Berg, MD 1467 S Highway 40, Heber, UT 84032-3522 Ph: (435) 654-6321 | Dr Tod L Berg, MD 1467 S Highway 40, Heber, UT 84032-3522 Ph: (435) 654-6321 |
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