Allie Berg, is a
Student In An Organized Health Care Education/training Program based in Salt Lake City, Utah. Allie Berg is licensed to practice in Utah (license number ) and her current practice location is
2606 E Lynwood Dr, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 652-6620.
NPI number for Allie Berg is 1306762695 and her current mailing address is 2606 E Lynwood Dr, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306762695.
Provider's Profile
| Full Name | Allie Berg |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2606 E Lynwood Dr, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306762695
- Provider Enumeration Date: 06/29/2026
- Last Update Date: 06/29/2026
Medical Identifiers
Medical identifiers for Allie Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306762695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 12304501-3102 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Utah) | 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. Allie Berg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Allie Berg, 2606 E Lynwood Dr, Salt Lake City, UT 84109-1253 Ph: (801) 652-6620 | Allie Berg, 2606 E Lynwood Dr, Salt Lake City, UT 84109-1253 Ph: (801) 652-6620 |
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