| Michael A Berke, PA | |
|
1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319-4324 | |
| (678) 344-8900 | |
| Not Available |
| Full Name | Michael A Berke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1450 S Johnson Ferry Rd Ste 100, Atlanta, Georgia |
| 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 |
|---|---|---|---|
| 1578975082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA0004275 (Colorado) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 7179 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| St Mary's Hospital | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Athens Specialty Care Llc | 8820349772 | 116 |
| Entity Name | Piedmont Athens Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Berke, PA 1551 Janmar Rd, Snellville, GA 30078-5606 Ph: Not Available | Michael A Berke, PA 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319-4324 Ph: (678) 344-8900 |
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