Garin B Bergeson, DO - Medicare Family Medicine in Surprise, AZ

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Garin B Bergeson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Surprise, Arizona. His current practice location is 13995 W Statler Blvd Ste 200, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 876-3870.

Garin B Bergeson is licensed to practice in Arizona (license number 011339) 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 1245878172.

Contact Information

Garin B Bergeson, DO
13995 W Statler Blvd Ste 200,
Surprise, AZ 85374-5503
(623) 876-3870
(623) 285-2707

Map and Direction




Physician's Profile

Full NameGarin B Bergeson
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location13995 W Statler Blvd Ste 200, Surprise, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245878172
  • Provider Enumeration Date: 12/10/2019
  • Last Update Date: 05/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779973490
  • Enrollment ID: I20241211004201

Medical Identifiers

Medical identifiers for Garin B Bergeson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245878172NPI-NPPES
011339OtherAZARIZONA BOARD OF OSTEOPATHIC EXAMINERS
NONEOtherNONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 011339 (Arizona)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. Garin B Bergeson allows following entities to bill medicare on his behalf.
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509

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. Garin B Bergeson 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
Garin B Bergeson, DO
13995 W Statler Blvd Ste 200,
Surprise, AZ 85374-5503

Ph: (623) 478-3100		Garin B Bergeson, DO
13995 W Statler Blvd Ste 200,
Surprise, AZ 85374-5503

Ph: (623) 876-3870

Reviews and Comments


Family Medicine Doctors in Surprise, AZ

Jacqueline Kristina Dumagpi, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13995 W Statler Blvd, Surprise, AZ 85374
Phone: 623-478-3100    
Ravi K Bajpai, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374
Phone: 623-544-8400    Fax: 623-544-8989
Dr. Dapinderjit Singh Gill, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 623-583-3001    
Vicki Denise Copeland, M.D.
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Medicare: Medicare Enrolled
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 877-809-5092    Fax: 623-815-9253
Neena K Uppal, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374
Phone: 623-544-6860    Fax: 623-544-6861
Gurvinder Singh Dhaliwal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13995 W Statler Blvd Ste 200, Surprise, AZ 85374
Phone: 623-478-3100    Fax: 623-478-3300
Mr. Walter Richard Hadikin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14973 W Bell Rd, Ste #100, Surprise, AZ 85374
Phone: 623-815-2900    Fax: 623-583-1319

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.