Tracy L Bergum, MSN, FNP-C, APNP in Lake Mills, WI

Tracy L Bergum, MSN, FNP-C, APNP is a medicare enrolled "Nurse Practitioner" in Lake Mills, Wisconsin. Her current practice location is N6781 Woodfield Ln, Lake Mills, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 222-0354.

Tracy L Bergum is licensed to practice in Wisconsin (license number 9748-33) 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 1750929972.

Contact Information

	Tracy L Bergum, MSN, FNP-C, APNP
	N6781 Woodfield Ln, Lake Mills, WI 53551-9735
	(920) 222-0354
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy L Bergum
Gender	Female
Speciality	Nurse Practitioner
Location	N6781 Woodfield Ln, Lake Mills, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750929972
Provider Enumeration Date: 12/18/2019
Last Update Date: 01/09/2026

Medicare PECOS Information:

PECOS PAC ID: 4082144258
Enrollment ID: I20250204002136

Medical Identifiers

Medical identifiers for Tracy L Bergum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750929972	NPI	-	NPPES
1750929972	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9748-33 (Wisconsin)	Primary
163W00000X	Registered Nurse	98981-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	F08191041 (Wisconsin)	Secondary

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. Tracy L Bergum allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Tracy L Bergum 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
Tracy L Bergum, MSN, FNP-C, APNP N6781 Woodfield Ln, Lake Mills, WI 53551-9735 Ph: (920) 222-0354	Tracy L Bergum, MSN, FNP-C, APNP N6781 Woodfield Ln, Lake Mills, WI 53551-9735 Ph: (920) 222-0354

Reviews and Comments

Nurse Practitioner Nurses in Lake Mills, WI

Mrs. Lynne M. Edebohls, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-4518 Fax: 920-648-1623
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Katherine A Lothe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-4518 Fax: 920-648-1623
Dr. Ruthanne Reichert Taylor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N6973 Rock Lake Rd Apt 26, Lake Mills, WI 53551 Phone: 307-203-6813
Bridget A. Halbersma, NP,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393
Mckenna Meihak, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393

Tracy L Bergum, MSN, FNP-C, APNP - Medicare Nurse Practitioner in Lake Mills, WI