Gary R Berk (NPI# 1417059718, PAC ID# 6901839372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417059718 |
| PAC ID by PECOS | 6901839372 |
| Professional Enrollment ID | I20080715000538 |
| Full Name | Gary R Berk |
| Address |
105 Main St Hermon NY 13652-3100 |
| Phone Number | 3153472191 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330197 | CANTON-POTSDAM HOSPITAL |
| 331315 | GOUVERNEUR HOSPITAL |
| 330211 | CLAXTON-HEPBURN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 Main St, Hermon, NY 13652-3100 | 3153472191 |
| Street Address |
105 MAIN ST |
| City | HERMON |
| State | NY |
| Zip | 13652-3100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek S Peveler | Optometry | Politzer and Durocher Plc | 105 Main St, Lafayette, TN 37083-1225 |
| Lauren W Loughlin | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 105 Main St, Maynard, MA 01754-2514 |
| Samuel L Marabella Jr. | Physical Therapy | Elizabeth Marabella Peck Pt Dpt Pllc | 105 Main St, Suite 2, North Tonawanda, NY 14120-5308 |
| Syed M Iqbal | Cardiovascular Disease (cardiology) | 105 Main St, Dansville, NY 14437-1611 | |
| James G Blaum | Chiropractic | 105 Main St, Luzerne, PA 18709-1209 | |
| Ruchika S Shekhda | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 105 Main St, Maynard, MA 01754-2514 |
| John Robert Acord Jr. | Chiropractic | 105 Main St, Purvis, MS 39475-5437 | |
| Elizabeth A Marabella Peck | Physical Therapy | Elizabeth Marabella Peck Pt Dpt Pllc | 105 Main St, Suite 2, North Tonawanda, NY 14120-5308 |
| Alexandra Me Idenburg | Family Medicine | 105 Main St, Pittsfield, ME 04967-4364 | |
| Ashley N Zaganjori | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 105 Main St, Maynard, MA 01754-2514 |
| Find all physicians in the same address | |||
| City | HERMON |
| Zip Code | 13652 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HERMON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary R Berk.
| 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.