Robert Nelson Bertoldo, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Ogden, Utah. His current practice location is
4401 Harrison Blvd Ste 1885, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 387-4870.
Robert Nelson Bertoldo is licensed to practice in Utah (license number 7376667-1204) 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 1275509176.
Physician's Profile
| Full Name | Robert Nelson Bertoldo |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 4401 Harrison Blvd Ste 1885, Ogden, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275509176
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 11/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 3870522485
- Enrollment ID: I20090821000578
Medical Identifiers
Medical identifiers for Robert Nelson Bertoldo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275509176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | K6988 (Texas) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | K6988 (Texas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | K6988 (Texas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 7376667-1204 (Utah) | 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. Robert Nelson Bertoldo allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Robert Nelson Bertoldo 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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Robert Nelson Bertoldo, DO
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: () - | Robert Nelson Bertoldo, DO
4401 Harrison Blvd Ste 1885,
Ogden, UT 84403-3195
Ph: (801) 387-4870 |
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