William Paul Berg, MD | |
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 | |
(801) 429-8037 | |
(801) 753-7476 |
Full Name | William Paul Berg |
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Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, Utah |
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 |
---|---|---|---|
1437594421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18521 (Hawaii) | Secondary |
207Q00000X | Family Medicine | 11705830-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Wahiawa Center For Community Health | 6608154182 | 11 |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
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William Paul Berg, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | William Paul Berg, MD 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 Ph: (801) 429-8037 |
Jodi Lyn Ott, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3133 E Cedar Pass Rd, Eagle Mountain, UT 84005 Phone: 435-531-1066 | |
Steven Len Embley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4095 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Jared Michael Roberts, Family Medicine Medicare: Medicare Enrolled Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 Fax: 801-642-2941 |