| Carol Berg, | |
|
6715 E 41st St, Tulsa, OK 74145-4520 | |
| (918) 806-0013 | |
| Not Available |
| Full Name | Carol Berg |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 12 Years |
| Location | 6715 E 41st St, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083029631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4233 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Berg, 9439 E 81st St Apt 413, Tulsa, OK 74133-8103 Ph: () - | Carol Berg, 6715 E 41st St, Tulsa, OK 74145-4520 Ph: (918) 806-0013 |
Mrs. Katie Elizabeth Aday, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1339 E 55th St, Tulsa, OK 74105 Phone: 918-417-6424 Fax: 918-779-0706 | |
Lisa A Scavezze, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8880 E 105th Ct, Tulsa, OK 74133 Phone: 918-369-8883 | |
Mrs. Katherine Claire Gallegos, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5842 S Sandusky Ave, Tulsa, OK 74135 Phone: 918-812-8848 | |
Adrienne Lindsey Coleman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3223 E 31st St, Tulsa, OK 74105 Phone: 918-250-7093 Fax: 918-250-9976 | |
Christina Clark, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6715 E 41st St, Tulsa, OK 74145 Phone: 918-630-3083 | |
Amy Owens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6740 E 91st St, Tulsa, OK 74133 Phone: 918-852-2119 | |
Emily Marissa Wallace, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6846 S Canton Ave, Tulsa, OK 74136 Phone: 918-806-0106 |