Matthew Hatfield Bertke (NPI# 1083971683, PAC ID# 0547560773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1083971683 |
| PAC ID by PECOS | 0547560773 |
| Professional Enrollment ID | I20170808004021 |
| Full Name | Matthew Hatfield Bertke |
| Organization Legal Name | SOUTH GEORGIA CENTER FOR CANCER CARE, LLC |
| Address |
27 Lester Rd Statesboro GA 30458-4764 |
| Phone Number | 9127643037 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 0244501054 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110036 | MEMORIAL UNIVERSITY MEDICAL CENTER |
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| 111334 | CANDLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4700 Waters Ave, Savannah, GA 31404-6220 | 9123508490 | COASTAL CANCER CARE, LLC |
| 27 Lester Rd, Statesboro, GA 30458-4764 | 9127643037 | SOUTH GEORGIA CENTER FOR CANCER CARE, LLC |
| Organization Legal Name | SOUTH GEORGIA CENTER FOR CANCER CARE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron W Pederson | Radiation Oncology | South Georgia Center for Cancer Care, LLC | 27 Lester Rd, Statesboro, GA 30458-4764 |
| Michael Hasselle | Radiation Oncology | South Georgia Center for Cancer Care, LLC | 27 Lester Rd, Statesboro, GA 30458-4764 |
| Street Address |
27 LESTER RD |
| City | STATESBORO |
| State | GA |
| Zip | 30458-4764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron W Pederson | Radiation Oncology | South Georgia Center for Cancer Care, LLC | 27 Lester Rd, Statesboro, GA 30458-4764 |
| Michael Hasselle | Radiation Oncology | South Georgia Center for Cancer Care, LLC | 27 Lester Rd, Statesboro, GA 30458-4764 |
| David H Weems | Radiation Oncology | E Plus Statesboro Cancer Care, LLC | 27 Lester Rd, Statesboro, GA 30458-4764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Stacey C Basquin | Physician Assistant | East Georgia Hma Physician Management LLC | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 | |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | STATESBORO + RADIATION ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.