Look up the most recent NPI and PECOS records

Melissa Berg

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4535 Dressler Rd NW, Canton, OH 44718-2545

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Berg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1548700107
Provider Type
Individual
Full Name
Berg, Melissa
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
3/1/2017
Last Updated
3/1/2017

Contact Information

Practice Location

4535 Dressler Rd NW, Canton, OH 44718-2545

(800) 828-0898

(330) 493-8677

Mailing Location

4535 Dressler Rd NW, Canton, OH 44718-2545

(800) 828-0898

(330) 493-8677

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN.CNP.020576 Ohio

Melissa Berg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Holcomb, Taylor Nicole

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