Tamara E Bergum, MFT is a
Marriage & Family Therapist based in Hayward, Wisconsin. Tamara E Bergum is licensed to practice in Wisconsin (license number 141-228) and her current practice location is
15655 W County Road B, Hayward, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 634-0607.
NPI number for Tamara E Bergum is 1972835601 and her current mailing address is 15655 W County Road B, P.o. Box 13251, Hayward, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972835601.
Healthcare Provider's Profile
| Full Name | Tamara E Bergum |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 15655 W County Road B, Hayward, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972835601
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 02/05/2010
Medical Identifiers
Medical identifiers for Tamara E Bergum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972835601 | NPI | - | NPPES |
| 141-228 | Other | WI | WI DRL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 141-228 (Wisconsin) | Primary |
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. Tamara E Bergum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tamara E Bergum, MFT 15655 W County Road B, P.o. Box 13251, Hayward, WI 54843-2680 Ph: (715) 634-0607 | Tamara E Bergum, MFT 15655 W County Road B, Hayward, WI 54843-3251 Ph: (715) 634-0607 |
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