Mrs Vanessa Lea Ute Bergstreser, NP in Fountain, CO

Mrs Vanessa Lea Ute Bergstreser, NP is a medicare enrolled "Nurse Practitioner - Family" in Fountain, Colorado. Her current practice location is 5115 Fontaine Blvd, Fountain, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 653-7776.

Mrs Vanessa Lea Ute Bergstreser is licensed to practice in Colorado (license number APN.1000157-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780357640.

Contact Information

	Mrs Vanessa Lea Ute Bergstreser, NP
	5115 Fontaine Blvd, Fountain, CO 80817-1061
	(719) 653-7776
	(719) 207-7783

Map and Direction

Provider's Profile

Full Name	Mrs Vanessa Lea Ute Bergstreser
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5115 Fontaine Blvd, Fountain, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780357640
Provider Enumeration Date: 07/27/2021
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 9830624253
Enrollment ID: I20241121004718

Medical Identifiers

Medical identifiers for Mrs Vanessa Lea Ute Bergstreser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780357640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.1000157-NP (Colorado)	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. Mrs Vanessa Lea Ute Bergstreser allows following entities to bill medicare on her behalf.

Entity Name	Fountain Valley Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275272924 PECOS PAC ID: 6608252663 Enrollment ID: O20220929000653

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. Mrs Vanessa Lea Ute Bergstreser 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
Mrs Vanessa Lea Ute Bergstreser, NP 5115 Fontaine Blvd, Fountain, CO 80817-1061 Ph: (719) 653-7776	Mrs Vanessa Lea Ute Bergstreser, NP 5115 Fontaine Blvd, Fountain, CO 80817-1061 Ph: (719) 653-7776

Reviews and Comments

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Mrs Vanessa Lea Ute Bergstreser, NP - Medicare Nurse Practitioner in Fountain, CO