Elyssa Berg, in Fort Defiance, AZ - Medicare Emergency Medicine

Elyssa Berg, is a medicare enrolled "Emergency Medicine" physician in Fort Defiance, Arizona. She went to Yale University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Fort Defiance Indian Hospital Board, Incorporation and her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8600.

Elyssa Berg is licensed to practice in Michigan (license number 4301113504) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255745113.

Contact Information

	Elyssa Berg,
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8600
	Not Available

Map and Direction

Physician's Profile

Full Name	Elyssa Berg
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elyssa Berg attended and graduated from Yale University School Of Medicine in 2014

NPI Data:

NPI Number: 1255745113
Provider Enumeration Date: 06/18/2014
Last Update Date: 05/24/2019

Medicare PECOS Information:

PECOS PAC ID: 6406153097
Enrollment ID: I20171016001728

Medical Identifiers

Medical identifiers for Elyssa Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255745113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301113504 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Defiance Indian Hospital	Fort defiance, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Fort Defiance Indian Hospital Board, Incorporation	0941336697	104

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. Elyssa Berg allows following entities to bill medicare on her behalf.

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Elyssa 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
Elyssa Berg, Po Box 589, Fort Defiance, AZ 86504-0589 Ph: (928) 792-8600	Elyssa Berg, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8600

Reviews and Comments

Emergency Medicine Doctors in Fort Defiance, AZ

Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Dr. Brian Ezar Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Rt N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8600 Fax: 928-729-8624
Samuel Bryan Wood, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Nicholas Frank Zampariello, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Scott A Kelso, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Elyssa Berg, - Medicare Emergency Medicine in Fort Defiance, AZ