Edward D Berg, is a
Otolaryngology physician based in Lansing, Michigan. Edward D Berg is licensed to practice in Michigan (license number EB006059) and his current practice location is 7201 W Saginaw Hwy, Suite 300, Lansing, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 321-6801.
NPI number for Edward D Berg is 1043253339 and his current mailing address is 7201 W Saginaw Hwy, Suite 300, Lansing, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043253339.
Physician's Profile
| Full Name | Edward D Berg |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 7201 W Saginaw Hwy, Lansing, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043253339
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 10/15/2007
Medical Identifiers
Medical identifiers for Edward D Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043253339 | NPI | - | NPPES |
| 200000002582 | Other | MI | PHPMM |
| 0452329554 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1063159 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | EB006059 (Michigan) | 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. Edward D Berg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward D Berg,
7201 W Saginaw Hwy, Suite 300,
Lansing, MI 48917-1131
Ph: (517) 321-6801 | Edward D Berg,
7201 W Saginaw Hwy, Suite 300,
Lansing, MI 48917-1131
Ph: (517) 321-6801 |
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