Grant S Berges, MD | |
2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | |
(928) 537-6338 | |
Not Available |
Full Name | Grant S Berges |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447380977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36654 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Whiteriver Phs Indian Hospital | Whiteriver, AZ | Hospital |
Hopi Health Care Center | Polacca, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White Mountain Communities Hospital, Inc. | 1951203512 | 14 |
White Mountain Radiology | 2365429123 | 32 |
Summit Healthcare Association | 3779568647 | 57 |
Dhhs Ihs Phoenix Area | 2668649567 | 56 |
Dhhs Ihs Phoenix Area | 9436325420 | 23 |
Entity Name | White Mountain Communities Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699766592 PECOS PAC ID: 1951203512 Enrollment ID: O20040123000416 |
Entity Name | Summit Healthcare Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
Entity Name | White Mountain Radiology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225018146 PECOS PAC ID: 2365429123 Enrollment ID: O20040630000802 |
Mailing Address | Practice Location Address |
---|---|
Grant S Berges, MD Po Box 548, Cottonwood, AZ 86326-0548 Ph: (928) 634-0665 | Grant S Berges, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 Ph: (928) 537-6338 |
James S Mcevoy, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 Fax: 928-532-5947 | |
Mr. Victor R Henderson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Hunt Dr, Ste H, Show Low, AZ 85901 Phone: 928-537-6964 Fax: 928-532-8798 | |
Edgar Jay Pringle, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 Fax: 928-532-5947 | |
Heinz Jurgen Krosta, R.T.(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 3860 S White Mountain Rd Trlr 82, Show Low, AZ 85901 Phone: 936-994-2228 | |
Kenneth A Giles, MD Radiology Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 Fax: 928-532-5947 |