Jack L Berg, MD in Shreveport, LA - Medicare Family Practice

Jack L Berg, MD is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Medical Center and his current practice location is 7813 Youree Dr, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-3830.

Jack L Berg is licensed to practice in Louisiana (license number 15000R) 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 1639160021.

Contact Information

	Jack L Berg, MD
	7813 Youree Dr, Shreveport, LA 71105-5505
	(318) 212-3830
	(318) 212-3835

Map and Direction

Physician's Profile

Full Name	Jack L Berg
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	7813 Youree Dr, Shreveport, Louisiana
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:

Jack L Berg attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1982

NPI Data:

NPI Number: 1639160021
Provider Enumeration Date: 11/03/2005
Last Update Date: 06/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1850297573
Enrollment ID: I20031211000769

Medical Identifiers

Medical identifiers for Jack L Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639160021	NPI	-	NPPES
1160571	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	15000R (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Medical Center	7214956044	2

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. Jack L Berg allows following entities to bill medicare on his behalf.

Entity Name	Family Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225029515 PECOS PAC ID: 7214956044 Enrollment ID: O20051122000113

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. Jack L 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
Jack L Berg, MD 7813 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 212-3830	Jack L Berg, MD 7813 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 212-3830

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835

Jack L Berg, MD - Medicare Family Practice in Shreveport, LA