Dr Jack E Bergstrom, DC - Medicare Chiropractor in Alhambra, CA

Dr Jack E Bergstrom, DC is a medicare enrolled "Chiropractor" provider in Alhambra, California. His current practice location is 84 S Palm Ave, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at (626) 280-9968.

Dr Jack E Bergstrom is licensed to practice in California (license number 36290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548969702.

Contact Information

Dr Jack E Bergstrom, DC
84 S Palm Ave,
Alhambra, CA 91801-3101
(626) 280-9968
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack E Bergstrom
GenderMale
SpecialityChiropractor
Location84 S Palm Ave, Alhambra, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548969702
  • Provider Enumeration Date: 02/27/2023
  • Last Update Date: 02/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143683938
  • Enrollment ID: I20230828000023

Medical Identifiers

Medical identifiers for Dr Jack E Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548969702NPI-NPPES
36290OtherCACALIFORNIA CHIROPRACTIC BOARD
F3317513OtherCACALIFORNIA DRIVERS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 36290 (California)Primary

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. Dr Jack E Bergstrom allows following entities to bill medicare on his behalf.
Provider NameUnited Integrated Medical Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225418767
PECOS PAC ID: 3173836525
Enrollment ID: O20150715000035

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. Dr Jack E Bergstrom 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 AddressPractice Location Address
Dr Jack E Bergstrom, DC
1309 N Birchnell Ave,
San Dimas, CA 91773-1003

Ph: (626) 482-2481
Dr Jack E Bergstrom, DC
84 S Palm Ave,
Alhambra, CA 91801-3101

Ph: (626) 280-9968

Reviews and Comments


Chiropractor in Alhambra, CA

Tracy Lam, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 84 S Palm Ave, Alhambra, CA 91801
Phone: 626-280-9968    
Dr. Denny Sing Wong, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 1800 S Valencia St, Alhambra, CA 91801
Phone: 626-308-0732    
Dr. Kornelius Tjandra Subadya, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 1014 S Garfield Ave, Alhambra, CA 91801
Phone: 626-576-1234    
Dr. Kirby Kwok Yung Lee, D.C., LAC,
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 41 North Garfield Ave., # 103, Alhambra, CA 91801
Phone: 626-404-7373    
Dr. Waleed Kattar, D.C.
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 320 S Garfield Ave Ste 322, Alhambra, CA 91801
Phone: 626-570-9892    Fax: 626-570-9894
Dr. Miki Hayashi, D.C., LAC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 320 S Garfield Ave, #222, Alhambra, CA 91801
Phone: 626-872-2030    
Dr. Jason Chung, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 430 S Garfield Ave, Suite 418, Alhambra, CA 91801
Phone: 626-570-8838    Fax: 626-570-8878

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.