Zachary Berg, MD | |
30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 | |
(801) 581-2121 | |
Not Available |
Full Name | Zachary Berg |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 30 N 1900 E Rm 1a071, Salt Lake City, 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 |
---|---|---|---|
1730597758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-15077 (Idaho) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 9529133-1205 (Utah) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boise Radiology Group Pllc | 9638153257 | 52 |
Entity Name | Boise Radiology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740216175 PECOS PAC ID: 9638153257 Enrollment ID: O20040614000277 |
Entity Name | Weiser Valley Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
Entity Name | North Canyon Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Mailing Address | Practice Location Address |
---|---|
Zachary Berg, MD Po Box 1108, Corvallis, OR 97339-1108 Ph: (805) 286-3826 | Zachary Berg, MD 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 Ph: (801) 581-2121 |
Dr. Romuald Ferre, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Utah Department Of Radiology And Imaging, 30 North Mario Capecchi Drive 2 South, Salt Lake City, UT 84112 Phone: 801-633-7085 | |
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822 | |
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Hugh F. Harnsberger, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553 | |
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900 | |
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843 |