Michael A Bergom, MD | |
1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 | |
(618) 277-7400 | |
(618) 277-7422 |
Full Name | Michael A Bergom |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 1414 Cross Street, Shiloh, Illinois |
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 |
---|---|---|---|
1801814108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 45795 (Wisconsin) | Secondary |
208600000X | Surgery | 036153202 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Sparta Community Hospital | Sparta, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lincoln Surgical Associates, Ltd. | 9335320597 | 11 |
Entity Name | Lincoln Surgical Associates, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861706814 PECOS PAC ID: 9335320597 Enrollment ID: O20110221000715 |
Mailing Address | Practice Location Address |
---|---|
Michael A Bergom, MD 1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 Ph: (618) 277-7400 | Michael A Bergom, MD 1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 Ph: (618) 277-7400 |
Deirdre Hart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 330, Shiloh, IL 62269 Phone: 618-277-7400 | |
Dr. Paul E Loethen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Scott W Schwiesow, MD Surgery Medicare: Medicare Enrolled Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Thomas Vinh Luong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Douglas B Aach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Matthew R Smith, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Lyman Lansing Hale Iv, M.D., M.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 330, Shiloh, IL 62269 Phone: 618-277-7400 |