Dr Evan Berg, DO is a medicare enrolled "Emergency Medicine" physician in Deckerville, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Deckerville Community Hospital, Inc, Mclaren Medical Group and his current practice location is
3559 Pine St, Deckerville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 376-2835.
Dr Evan Berg is licensed to practice in Michigan (license number 5101023211) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811425226.
Physician's Profile
Full Name | Dr Evan Berg |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 7 Years |
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Location | 3559 Pine St, Deckerville, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Evan Berg attended and graduated from Michigan State University College Of Osteopathic Medicine in 2017
NPI Data:
- NPI Number: 1811425226
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921378076
- Enrollment ID: I20190926001426
Medical Identifiers
Medical identifiers for Dr Evan Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811425226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101023211 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Deckerville Community Hospital, Inc | 2163508821 | 10 |
Mclaren Medical Group | 3971416082 | 195 |
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 Evan Berg allows following entities to bill medicare on his behalf.
Entity Name | Mclaren Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
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Entity Name | Deckerville Community Hospital, Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1164540555 PECOS PAC ID: 2163508821 Enrollment ID: O20110523000767 |
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Entity Name | Degara App Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
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Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
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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 Evan Berg 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 Evan Berg, DO 450 Miller Ave Apt 203, Rochester, MI 48307-6649 Ph: () - | Dr Evan Berg, DO 3559 Pine St, Deckerville, MI 48427-7703 Ph: (810) 376-2835 |
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