| Dr Benjamin Scott Bergstrom, DNP | |
|
655 Sierra Rose Dr, Reno, NV 89511-2060 | |
| (775) 770-2705 | |
| Not Available |
| Full Name | Dr Benjamin Scott Bergstrom |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 655 Sierra Rose Dr, Reno, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992358550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN178752 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 228542 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peters Hospital | Helena, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascend Anesthesia Associates Mt Llc | 9032508049 | 3 |
| Entity Name | St. Peter's Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205025145 PECOS PAC ID: 7911814926 Enrollment ID: O20031204001245 |
| Entity Name | Northstar Anesthesia Of Montana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265059869 PECOS PAC ID: 5395151294 Enrollment ID: O20210301001196 |
| Entity Name | Ascend Anesthesia Associates Mt Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336819697 PECOS PAC ID: 9032508049 Enrollment ID: O20211112001747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Scott Bergstrom, DNP 21219 N 38th Pl, Phoenix, AZ 85050-4963 Ph: (480) 369-1976 | Dr Benjamin Scott Bergstrom, DNP 655 Sierra Rose Dr, Reno, NV 89511-2060 Ph: (775) 770-2705 |
Amy E Rieschick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 34120, Reno, NV 89533 Phone: 316-268-5000 Fax: 316-291-4272 | |
Vibeke Nunez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 880 Ryland St, Reno, NV 89502 Phone: 775-329-4600 | |
John Long, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-328-1242 | |
Gregory Shaw Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4080 Triple Creek Ct, Reno, NV 89503 Phone: 775-217-0332 | |
Mrs. Carole Annette Fruscello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 South Wells Avenue Suite 106, Atca,inc., Reno, NV 89502 Phone: 864-414-9576 | |
Gail Patricia Olender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 329 Lorraine Ct, Reno, NV 89509 Phone: 775-825-4626 | |
Joyce A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 880 Ryland St, Reno, NV 89502 Phone: 775-329-4600 Fax: 775-324-4312 |