David J. Bertsch, M.D.
Individual provider Active NPI Surgery Physician · Sayre, PA
NPI 1740255405 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1740255405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD037939E (PA)
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-5858
- Fax
- (570) 887-2338
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
317 W Lockhart St
Surgery
Sayre, PA 18840-1618
Phone (570) 887-3920
One Guthrie SQ
Sayre, PA 18840-1625
One Guthrie Square
Sayre, PA 18840-1625
Hospital & facility affiliations
- Robert Packer Hospital
- Corning Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080326000802 | PA | Practitioner - General Surgery |
8921184276 | Reassigns benefits to 1 organization |
| I20110415000639 | NY | Practitioner - General Surgery | 8921184276 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Surgery | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Physiciancare PC | Past | Accepting new patients | |
| Endless Mountains Health Systems, Inc. | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients | |
| Robert Packer Hospital | Past |
Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dbertsch20195@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | MD037939E | PA | |
| Surgery Physician | 208600000X | MD037939E | PA | Yes |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001203975 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbertsch20195@direct-guthrie.org | Direct |
Other providers in Sayre, PA
- Patrick R. Bergevin
- Michelle Bernshteyn
- Christopher Leonard Berry
- Mackensie Elisabeth Berry
- Bert'S Pharmacy, Inc.
- Hitesh Bhatia
- Shashank Bhattarai
- Erin Ann Bilbrough
- Bio-Medical Applications of Pennsylvania, Inc.
- Audrey Mae Birster
All providers in Sayre, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.