Jacob Tyrell Berg, DO is a medicare enrolled "Emergency Medicine" physician in Sneads Ferry, North Carolina. He went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2021 and has 5 years of diverse experience with area of expertise as Emergency Medicine. His current practice location is
205 Smallberry Ct, Sneads Ferry, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(307) 630-9380.
Jacob Tyrell Berg is licensed to practice in Florida (license number OS20890) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538724455.
Physician's Profile
| Full Name | Jacob Tyrell Berg |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 5 Years |
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| Location | 205 Smallberry Ct, Sneads Ferry, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Tyrell Berg attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2021
NPI Data:
- NPI Number: 1538724455
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456859487
- Enrollment ID: I20250808004177
Medical Identifiers
Medical identifiers for Jacob Tyrell Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538724455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | OS20890 (Florida) | Primary |
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. Jacob Tyrell 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 |
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Jacob Tyrell Berg, DO
7711 S Sunnycrest Rd,
Seattle, WA 98178-2749
Ph: (307) 630-9380 | Jacob Tyrell Berg, DO
205 Smallberry Ct,
Sneads Ferry, NC 28460-6827
Ph: (307) 630-9380 |
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