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PAUL MICHAEL BERKES L.P.C., M.H.S.P.
Accepted Insurance for NPI 1881959310
Counselor - Mental Health in Bartlett, TN

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
3572 SUNRISE LN, BARTLETT, TN 38133(901) 277-5797 Get Directions

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Does Paul Berkes take my insurance?

48 Tennessee plans sold on HealthCare.gov for 2027 include Paul Berkes, from Oscar Health, UnitedHealthcare and BlueCross BlueShield of Tennessee. UnitedHealthcare also lists Paul Berkes in Mississippi and Missouri.

Call before you book: insurer directories can be out of date, so call the office at (901) 277-5797 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

80 plans · 178 plan IDs · 2027 plan year

Tennessee plans 48 plans · 146 plan IDs

Plans sold to Tennessee residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Oscar Health

19 plans · EPO
Accepting new patients
Gold Elite Saver PlusNetwork tier: PreferredEPOGold$023552TN0020036View details
Gold Elite Saver Plus with Adult Dental & VisionNetwork tier: PreferredEPOGold$023552TN0020080View details
Gold Classic StandardNetwork tier: PreferredEPOGold$2,50023552TN0020053View details
Silver Simple PCP SaverNetwork tier: PreferredEPOSilver$5,75023552TN0020025View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredEPOSilver$6,00023552TN0020064View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredEPOSilver$6,20023552TN0020056View details
Silver Classic StandardNetwork tier: PreferredEPOSilver$6,40023552TN0020052View details
Silver Simple Chronic Care CKMNetwork tier: PreferredEPOSilver$6,50023552TN0020063View details
Silver Simple DiabetesNetwork tier: PreferredEPOSilver$6,50023552TN0020055View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredEPOSilver$6,50023552TN0020084View details
Silver Core PlanNetwork tier: PreferredEPOSilver$9,00023552TN0020078View details
Bronze Elite + PCP Saver PlusNetwork tier: PreferredEPOExpanded Bronze$023552TN0020005View details
Bronze Elite + PCP Saver Plus with Adult Dental & VisionNetwork tier: PreferredEPOExpanded Bronze$023552TN0020079View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredEPOExpanded Bronze$5,50023552TN0020058View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredEPOExpanded Bronze$5,50023552TN0020059View details
Bronze Simple DiabetesNetwork tier: PreferredEPOExpanded Bronze$5,50023552TN0020060View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredEPOExpanded Bronze$5,50023552TN0020082View details
Bronze Classic StandardNetwork tier: PreferredEPOExpanded Bronze$7,50023552TN0020050View details
Bronze SimpleNetwork tier: PreferredEPOExpanded Bronze$9,15023552TN0020068View details

UnitedHealthcare

15 plans · EPO
Accepting new patients
UHC Gold Copay Focus (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOGold$069443TN0140045View details
UHC Gold Copay Focus+ (Virtual Urgent Care, Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOGold$069443TN0180007View details
UHC Gold Advantage (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOGold$2,00069443TN0140031View details
UHC Gold Advantage+ (Virtual Urgent Care, Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOGold$2,00069443TN0180002View details
UHC Gold Standard (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOGold$2,50069443TN0140016View details
UHC Silver Copay Focus (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOSilver$069443TN0140041View details
UHC Silver Copay Focus+ (Virtual Urgent Care, Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOSilver$069443TN0180005View details
UHC Silver Advantage (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOSilver$3,50069443TN0140029View details
UHC Silver Advantage+ (Virtual Urgent Care, Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOSilver$3,50069443TN0180001View details
UHC Silver Standard (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOSilver$6,40069443TN0140044View details
UHC Silver Standard- (Virtual Urgent Care, Insulin, No Referrals)Network tier: Non PreferredEPOSilver$6,40069443TN0230002View details
UHC Bronze Essential (Virtual Urgent Care, HSA, Insulin, No Referrals)Network tier: Non PreferredEPOBronze$11,75069443TN0140032View details
UHC Bronze Essential- (Virtual Urgent Care, HSA, Insulin, No Referrals)Network tier: Non PreferredEPOBronze$11,75069443TN0230001View details
UHC Bronze Copay Focus (Virtual Urgent Care, HSA, Insulin, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$069443TN0140043View details
UHC Bronze Copay Focus+ (Virtual Urgent Care, HSA, Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$069443TN0180009View details

BlueCross BlueShield of Tennessee

14 plans · EPO
Accepting new patients
Network E · 10 plans · Behavhealth tier
BlueCross G09E + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOGold$1,90014002TN0400539View details
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOGold$2,50014002TN0400234View details
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOSilver$6,40014002TN0400269View details
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOSilver$6,70014002TN0400294View details
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health® + Adult DentalNetwork tier: BehavhealthEPOSilver$6,70014002TN0400339View details
BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOSilver$9,00014002TN0400441View details
BlueCross B15E HSA + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOBronze$11,70014002TN0400239View details
BlueCross B17E HSA + $0 virtual care from Teladoc Health® + Adult DentalNetwork tier: BehavhealthEPOBronze$11,70014002TN0400311View details
BlueCross B19E HSA + $65 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOExpanded Bronze$014002TN0400385View details
BlueCross B16E HSA + $50 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOExpanded Bronze$7,50014002TN0400253View details
Network S · 4 plans · Behavhealth tier
BlueCross G09S + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOGold$1,90014002TN0400547View details
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOGold$2,50014002TN0400222View details
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOSilver$6,40014002TN0400257View details
BlueCross B16S HSA + $50 PCP Copay + $0 virtual care from Teladoc Health®Network tier: BehavhealthEPOExpanded Bronze$7,50014002TN0400241View details

Also listed in other states 32 plans · 2 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

UnitedHealthcare · Missouri

17 plans · EPO
Accepting new patientsDeductible $0 to $11,750
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredEPOGold$095426MO0410018View details
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOGold$095426MO0420008View details
UHC Gold Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredEPOGold$2,00095426MO0410020View details
UHC Gold Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOGold$2,00095426MO0420001View details
UHC Gold Standard ($0 Insulin, No Referrals)Network tier: Non PreferredEPOGold$2,50095426MO0410009View details
UHC Gold Standard+ ($0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOGold$2,50095426MO0420009View details
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredEPOSilver$095426MO0410006View details
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOSilver$095426MO0420007View details
UHC Silver Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredEPOSilver$3,50095426MO0410016View details
UHC Silver Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOSilver$3,50095426MO0420002View details
UHC Silver Standard ($0 Insulin, No Referrals)Network tier: Non PreferredEPOSilver$6,40095426MO0410008View details
UHC Silver Standard+ ($0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOSilver$6,40095426MO0420004View details
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredEPOBronze$11,75095426MO0410021View details
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$095426MO0410019View details
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$095426MO0420006View details
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$7,50095426MO0410013View details
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredEPOExpanded Bronze$7,50095426MO0420005View details

UnitedHealthcare · Mississippi

15 plans · HMO
Accepting new patientsDeductible $0 to $11,750
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$097560MS0030032View details
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$097560MS0080003View details
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,00097560MS0030031View details
UHC Gold Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$2,00097560MS0080004View details
UHC Gold Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,50097560MS0030014View details
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$097560MS0030018View details
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$097560MS0080002View details
UHC Silver Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$3,50097560MS0030029View details
UHC Silver Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$3,50097560MS0080001View details
UHC Silver Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$6,40097560MS0030021View details
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOBronze$11,75097560MS0030033View details
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$097560MS0030028View details
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$097560MS0080006View details
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50097560MS0030025View details
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50097560MS0080007View details

Questions about Paul Berkes’s insurance

What insurance does Paul Berkes take?

In Tennessee, Oscar Health, UnitedHealthcare and BlueCross BlueShield of Tennessee include Paul Berkes in 48 Marketplace plans for 2027. Call the office at (901) 277-5797 to confirm your plan before booking.

Is Paul Berkes accepting new patients?

The insurers that list Paul Berkes report that Paul Berkes is accepting new patients. Call the office at (901) 277-5797 to confirm your plan before booking.

Do I need a referral to see Paul Berkes?

Not under the Tennessee plans that list Paul Berkes: the 2027 plan files say a specialist referral is not required.

Does Paul Berkes accept Medicare?

Yes. CMS files show Paul Berkes accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Oscar Health: Nov 5, 2026
UnitedHealthcare: Nov 3, 2026
BlueCross BlueShield of Tennessee: Oct 28, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.