Mr Michael Adam Bergman, PA-C in Stamford, CT - Medicare Physician Assistant

Mr Michael Adam Bergman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Stamford, Connecticut. His current practice location is 30 Shelburne Rd, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 276-7076.

Mr Michael Adam Bergman is licensed to practice in Connecticut (license number 003256) 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 1134445760.

Contact Information

	Mr Michael Adam Bergman, PA-C
	30 Shelburne Rd, Stamford, CT 06902-3628
	(203) 276-7076
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael Adam Bergman
Gender	Male
Speciality	Physician Assistant - Medical
Location	30 Shelburne Rd, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134445760
Provider Enumeration Date: 04/07/2010
Last Update Date: 02/12/2015

Medicare PECOS Information:

PECOS PAC ID: 1658500335
Enrollment ID: I20221214001605

Medical Identifiers

Medical identifiers for Mr Michael Adam Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134445760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	013878 (New York)	Secondary
363AM0700X	Physician Assistant - Medical	003256 (Connecticut)	Primary

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 Michael Adam Bergman 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 Michael Adam Bergman, PA-C 30 Shelburne Rd, Po Box 9317, Stamford, CT 06902-3628 Ph: (203) 276-7076	Mr Michael Adam Bergman, PA-C 30 Shelburne Rd, Stamford, CT 06902-3628 Ph: (203) 276-7076

Reviews and Comments

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Mr Michael Adam Bergman, PA-C - Medicare Physician Assistant in Stamford, CT