| Tracy A Berg, MD | |
|
16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216-2830 | |
| (509) 891-8904 | |
| (509) 344-3104 |
| Full Name | Tracy A Berg |
|---|---|
| Gender | Female |
| Speciality | Surgery - Vascular Surgery |
| Location | 16201 E Indiana Ave, Spokane Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376637421 | NPI | - | NPPES |
| 1123884 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD00032615 (Washington) | Primary |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | Shc Medical Center Toppenish |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20200507000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy A Berg, MD 16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216-2830 Ph: (509) 891-8904 | Tracy A Berg, MD 16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216-2830 Ph: (509) 891-8904 |
Heather Anne Hartshorn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 N Houk Rd Ste 203, Spokane Valley, WA 99216 Phone: 509-838-2531 Fax: 509-755-6580 | |
Dr. Damon E. Sheneman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1512 N Vercler Rd, Suite 103, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
Dr. Max Edward Seaton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13424 E Mission Ave Ste A, Spokane Valley, WA 99216 Phone: 855-229-8012 Fax: 509-462-2275 | |
Stephen A Reese, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1512 N Vercler Rd, Suite 103, Spokane Valley, WA 99216 Phone: 509-838-2531 | |
Scott W Nye, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1414 N Houk Rd, Ste 104, Spokane Valley, WA 99216 Phone: 509-922-1376 Fax: 509-921-9763 | |
Dr. Anne Kieryn, MD Surgery Medicare: Medicare Enrolled Practice Location: 13424 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-822-4200 Fax: 590-462-2275 |