Dr Ethan Michael Berke, MD, MPH in Lebanon, NH

Dr Ethan Michael Berke, MD, MPH is a medicare enrolled "Family Medicine" physician in Lebanon, New Hampshire. His current practice location is 18 Old Etna Rd, Dhmc - Department Of Community And Family Medicine, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-4000.

Dr Ethan Michael Berke is licensed to practice in Minnesota (license number 63043) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902858855.

Contact Information

	Dr Ethan Michael Berke, MD, MPH
	18 Old Etna Rd, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766
	(603) 650-4000
	(603) 650-4198

Map and Direction

Physician's Profile

Full Name	Dr Ethan Michael Berke
Gender	Male
Speciality	Family Medicine
Location	18 Old Etna Rd, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902858855
Provider Enumeration Date: 05/17/2006
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9234027848
Enrollment ID: I20211213001771

Medical Identifiers

Medical identifiers for Dr Ethan Michael Berke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902858855	NPI	-	NPPES
1012802	Medicaid	VT
30206160	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00035349 (Washington)	Secondary
207Q00000X	Family Medicine	13084 (New Hampshire)	Secondary
207Q00000X	Family Medicine	63043 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan Michael Berke allows following entities to bill medicare on his behalf.

Entity Name	Medexpress Urgent Care Minnesota Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588025332 PECOS PAC ID: 8921307463 Enrollment ID: O20160504001550

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. Dr Ethan Michael Berke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ethan Michael Berke, MD, MPH 1 Medical Center Dr, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03756-1000 Ph: () -	Dr Ethan Michael Berke, MD, MPH 18 Old Etna Rd, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766 Ph: (603) 650-4000

Reviews and Comments

Family Medicine Doctors in Lebanon, NH

Dr. David Scott Cockrum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: --
Dr. Chukwusomnazu Emmanuel Nwanze, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 706-571-1430
Dr. Deborah A Glazer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491
Dr. Paul Nicholas Vanloan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Mascoma St, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-443-9501
Daniel Odonnell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-3640
Leah G Matthew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000
Dr. Annika Meith Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000

Dr Ethan Michael Berke, MD, MPH - Medicare Family Medicine in Lebanon, NH