Dr Marcel Bertsch-gout, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
5841 S Maryland Ave # 3077, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 702-3858.
Dr Marcel Bertsch-gout is licensed to practice in * (Not Available) (license number ) 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 1477173177.
Physician's Profile
| Full Name | Dr Marcel Bertsch-gout |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5841 S Maryland Ave # 3077, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477173177
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 09/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305266578
- Enrollment ID: I20201009001330
Medical Identifiers
Medical identifiers for Dr Marcel Bertsch-gout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477173177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036.168864 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Marcel Bertsch-gout 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 Marcel Bertsch-gout, MD
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686
Ph: (773) 702-1150 | Dr Marcel Bertsch-gout, MD
5841 S Maryland Ave # 3077,
Chicago, IL 60637-1443
Ph: (773) 702-3858 |
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