| Mr Eric Christopher Berg, CRNA | |
|
115 Porter Drive, Middlebury, VT 05753 | |
| (802) 388-5672 | |
| Not Available |
| Full Name | Mr Eric Christopher Berg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 115 Porter Drive, Middlebury, Vermont |
| 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 |
|---|---|---|---|
| 1750426631 | NPI | - | NPPES |
| 69763 | Other | VT | BLUE CROSS BLUE SHIELD |
| 1013329 | Medicaid | VT | |
| 30346738 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 101-0027388 (Vermont) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 058370-23 (New Hampshire) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brattleboro Memorial Hospital | Brattleboro, VT | Hospital |
| University Of Vermont Medical Center | Burlington, VT | Hospital |
| Porter Hospital Inc | Middlebury, VT | Hospital |
| Gifford Medical Center | Randolph, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Vermont Medical Center Inc | 3779491071 | 1208 |
| Porter Hospital Inc | 1850365180 | 116 |
| Ias Illinois Pc | 9638530991 | 79 |
| Medstream Anesthesia Pllc | 7416198049 | 571 |
| Entity Name | University of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689604 PECOS PAC ID: 1850365180 Enrollment ID: O20060105000092 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740291400 PECOS PAC ID: 1850365180 Enrollment ID: O20061104000607 |
| Entity Name | Medstream Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20201223000259 |
| Entity Name | Ias Illinois PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20260226002101 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric Christopher Berg, CRNA 329 Woodland Park, Middlebury, VT 05753 Ph: (802) 388-5672 | Mr Eric Christopher Berg, CRNA 115 Porter Drive, Middlebury, VT 05753 Ph: (802) 388-5672 |
Nicole L. Stone, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 Fax: 802-388-4799 |
William Harrington, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 |
Erica Lynn Belida, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 |
Robert E Tillson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 |
Deborah G Norris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 |
David Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 |
Gabrielle Robarge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 |