Alycean Maryrae Bergh, DC is a medicare enrolled "Chiropractor" provider in Blaine, Minnesota. She went to Northwestern College Of Chiropractic and graduated in 2014 and has 12 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Club West Chiropractic, Pa and her current practice location is
10950 Club West Pkwy Ste 190, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 400-4940.
Alycean Maryrae Bergh is licensed to practice in Minnesota (license number 6018) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326436064.
Healthcare Provider's Profile
| Full Name | Alycean Maryrae Bergh |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 12 Years |
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| Location | 10950 Club West Pkwy Ste 190, Blaine, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alycean Maryrae Bergh attended and graduated from Northwestern College Of Chiropractic in 2014
NPI Data:
- NPI Number: 1326436064
- Provider Enumeration Date: 01/05/2015
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890013411
- Enrollment ID: I20150410002392
Medical Identifiers
Medical identifiers for Alycean Maryrae Bergh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326436064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 1076 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 6018 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Club West Chiropractic, Pa | 7416310610 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alycean Maryrae Bergh allows following entities to bill medicare on her behalf.
| Provider Name | Club West Chiropractic, PA |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427447432
PECOS PAC ID: 7416310610
Enrollment ID: O20230905002557 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alycean Maryrae Bergh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Alycean Maryrae Bergh, DC
10950 Club West Pkwy Ste 190,
Blaine, MN 55449-4679
Ph: (763) 400-4940 | Alycean Maryrae Bergh, DC
10950 Club West Pkwy Ste 190,
Blaine, MN 55449-4679
Ph: (763) 400-4940 |
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