| Tyler Bergstrom, | |
|
2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | |
| (605) 342-3280 | |
| Not Available |
| Full Name | Tyler Bergstrom |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 5 Years |
| Location | 2820 Mount Rushmore Rd, Rapid City, South Dakota |
| 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 |
|---|---|---|---|
| 1619276334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9906 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Black Hills Surgical Hospital Llc | Rapid city, SD | Hospital |
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black Hills Surgical Hospital Llc | 5496742835 | 173 |
| Entity Name | Black Hills Surgical Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336009646 PECOS PAC ID: 5496742835 Enrollment ID: O20050616000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Bergstrom, Po Box 6020, Rapid City, SD 57709-6020 Ph: Not Available | Tyler Bergstrom, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 |
Wesley L Sufficool, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Founders Park Dr Ste 2, Rapid City, SD 57701 Phone: 605-791-5553 Fax: 605-791-5644 |
Michael Statz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |
Dr. Tiffany Ann Frederickson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 8412 Kitt Peak Rd, Rapid City, SD 57702 Phone: 515-201-8982 |
Kristin Wempe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |
John Bedingfield, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |
David D Slama, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 717 Saint Francis St, Rapid City, SD 57701 Phone: 605-342-2880 Fax: 605-388-4621 |
Sophia Joy Garfinkel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 |