| Patrick Berg, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 624-4000 | |
| (707) 423-7578 |
| Full Name | Patrick Berg |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932593225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A174941 (California) | Primary |
| 2086S0102X | Surgery - Surgical Critical Care | A174941 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Holy Cross Hospital-jordan Valley | West jordan, UT | Hospital |
| Trios | Kennewick, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Specialty Associates Of Utah Pllc | 3476904442 | 12 |
| Surgical Associates Pllc | 5395633572 | 8 |
| Rcch Trios Health Llc | 5799035416 | 65 |
| Entity Name | Urgent Specialty Associates of Utah PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992587778 PECOS PAC ID: 3476904442 Enrollment ID: O20240104001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Berg, MD 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 Ph: (707) 423-5068 | Patrick Berg, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 624-4000 |
Dr. Nicolas Danscuk, DO Surgery Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5224 |
Kaitlin May Barnette, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5216 |
Danyal Fer, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7842 |
Matthew Phillip Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 719-351-8219 |
Nathan Louis Maassel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |
Dr. Gregory Scott Brittenham Jr., DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |
Dr. Thomas Anthony Heafner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/60 Sgcs/sgch, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 314-691-1352 |