| Richard A Bertelsen Jr, MD | |
|
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
| (417) 326-6000 | |
| (417) 328-6341 |
| Full Name | Richard A Bertelsen Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1500 N Oakland Ave, Bolivar, Missouri |
| 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 |
|---|---|---|---|
| 1427153766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 119768 (Missouri) | Secondary |
| 208M00000X | Hospitalist | MD119768 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Banner North Colorado Medical Center | Greeley, CO | Hospital |
| Banner North Co Medical Center - Loveland Campus | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 526 |
| Banner Hospital Based Physicians Colorado Llc | 6800031386 | 82 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Entity Name | Physician Groups LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Butler Physician Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
| Entity Name | P&c Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124575923 PECOS PAC ID: 3779861109 Enrollment ID: O20170302001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Bertelsen Jr, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Richard A Bertelsen Jr, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
Dr. Mark Darl Brecheisen Jr., D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 |