Kenneth R Bertka, MD | |
2830 Easton Ave, Bethlehem, PA 18017-4204 | |
(484) 526-3555 | |
(484) 526-3560 |
Full Name | Kenneth R Bertka |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2830 Easton Ave, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609865823 | NPI | - | NPPES |
0631472 | Medicaid | OH | |
1609865823 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35050904 (Ohio) | Secondary |
207Q00000X | Family Medicine | 65395 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | MD460346 (Pennsylvania) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Bertka, MD 2830 Easton Ave, Bethlehem, PA 18017-4204 Ph: (484) 526-3555 | Kenneth R Bertka, MD 2830 Easton Ave, Bethlehem, PA 18017-4204 Ph: (484) 526-3555 |
Bram Sakdiponephong, MS, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 484-526-3555 Fax: 833-822-5230 | |
Shailee Pravinchandra Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 484-526-3555 Fax: 833-822-5230 | |
Hazem Fahmy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-6643 Fax: 484-526-4658 | |
Faton Bilali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Highland Ave, Bethlehem, PA 18020 Phone: 610-861-8080 | |
Maria Ghetu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 610-954-3555 Fax: 610-954-3560 | |
Jose G Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-6048 Fax: 484-526-6500 | |
Dr. Michael Brooks Pipestone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, St Luke's Enrollment Center, Bethlehem, PA 18015 Phone: 484-526-3285 Fax: 484-526-6500 |