Mr Max Frederick Bergstrom, PA-C in Huntersville, NC

Mr Max Frederick Bergstrom, PA-C is a medicare enrolled "Physician Assistant" in Huntersville, North Carolina. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern Oncology Specialists Pllc and his current practice location is 9930 Kincey Ave Ste 165, Huntersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 659-7855.

Mr Max Frederick Bergstrom is licensed to practice in North Carolina (license number 0010-11420) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104591874.

Contact Information

	Mr Max Frederick Bergstrom, PA-C
	9930 Kincey Ave Ste 165, Huntersville, NC 28078-6541
	(704) 659-7855
	(877) 881-8455

Map and Direction

Provider's Profile

Full Name	Mr Max Frederick Bergstrom
Gender	Male
Speciality	Physician Assistant
Experience	3 Years
Location	9930 Kincey Ave Ste 165, Huntersville, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Max Frederick Bergstrom graduated from nursing school in 2021

NPI Data:

NPI Number: 1104591874
Provider Enumeration Date: 08/13/2021
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6406245448
Enrollment ID: I20211115000211

Medical Identifiers

Medical identifiers for Mr Max Frederick Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104591874	NPI	-	NPPES
0397730007	Other	NC	NSC #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-11420 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Oncology Specialists Pllc	4082739560	8

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. Mr Max Frederick Bergstrom 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
Mr Max Frederick Bergstrom, PA-C 9930 Kincey Ave Ste 165, Huntersville, NC 28078-6541 Ph: (704) 659-7855	Mr Max Frederick Bergstrom, PA-C 9930 Kincey Ave Ste 165, Huntersville, NC 28078-6541 Ph: (704) 659-7855

Reviews and Comments

Physician Assistant Nurses in Huntersville, NC

Kelly Yoo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16325 Northcross Dr Ste F, Huntersville, NC 28078 Phone: 704-237-4240
Ashley Seier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10305 Hamptons Park Dr Ste 201, Huntersville, NC 28078 Phone: 704-295-3600
Blair Keith Troutman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14330 Oakhill Park Ln, Huntersville, NC 28078 Phone: 704-316-1265
Amanda Brooks Bowen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11208 Statesville Rd, Suite 300, Huntersville, NC 28078 Phone: 704-659-9000 Fax: 704-659-9009
Eric William Starr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10030 Gilead Rd, Suite 360, Huntersville, NC 28078 Phone: 704-316-5560 Fax: 704-316-5561
Sarah Kathleen Knoedler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Hamptons Park Dr, Huntersville, NC 28078 Phone: 704-323-2800

Mr Max Frederick Bergstrom, PA-C - Medicare Physician Assistant in Huntersville, NC