Gary Robert Berk, MD is a medicare enrolled "Family Medicine" physician in Hermon, New York. His current practice location is
105 Main St, Hermon, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 347-2191.
Gary Robert Berk is licensed to practice in New York (license number 1671441) 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 1417059718.
Physician's Profile
| Full Name | Gary Robert Berk |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 105 Main St, Hermon, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417059718
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901839372
- Enrollment ID: I20080715000538
Medical Identifiers
Medical identifiers for Gary Robert Berk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417059718 | NPI | - | NPPES |
| 00986576 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1671441 (New York) | 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. Gary Robert Berk allows following entities to bill medicare on his behalf.
| Entity Name | Gouverneur Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087 |
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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. Gary Robert Berk 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 |
|---|
Gary Robert Berk, MD
105 Main St,
Hermon, NY 13652-3100
Ph: (315) 347-2191 | Gary Robert Berk, MD
105 Main St,
Hermon, NY 13652-3100
Ph: (315) 347-2191 |
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