Michael John Bertram (NPI# 1194754622, PAC ID# 7517928500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1194754622 |
| PAC ID by PECOS | 7517928500 |
| Professional Enrollment ID | I20160826002420 |
| Full Name | Michael John Bertram |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
2300 Chamber Ctr Dr Suite 100 Lakeside Park KY 41017-1686 |
| Phone Number | 8593413114 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180045 | ST ELIZABETH FLORENCE |
| 180035 | ST ELIZABETH EDGEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 19 S Main St, Dry Ridge, KY 41035-7332 | 8598235441 | SUMMIT MEDICAL GROUP, INC. |
| 4900 Houston Rd, Florence, KY 41042-4824 | 8592127700 | SUMMIT MEDICAL GROUP, INC. |
| 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 | 8593413114 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
2300 CHAMBER CTR DR SUITE 100 |
| City | LAKESIDE PARK |
| State | KY |
| Zip | 41017-1686 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert N Tracy | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Alisa-ann H Christensen | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Eugene J Burchell | Obstetrics/gynecology | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Eric Robert Wood | Physician Assistant | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Matthew Enzweiler | Podiatry | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Debra F Schulte | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Deanna L Winter | Nurse Practitioner | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Mandee L Riddell | Qualified Audiologist | Head and Neck Surgery Associates, Psc | 2300 Chamber Ctr Dr, Suite 102, Lakeside Park, KY 41017-1686 |
| Shelby J Thornton | Nurse Practitioner | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Niva Khan | Internal Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | LAKESIDE PARK |
| Zip Code | 41017 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LAKESIDE PARK + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Michael John Bertram.
| 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.