Bergstrom Eye And Laser Clinic - Medicare in Fargo, ND

  1. Home
Bergstrom Eye And Laser Clinic is a medicare enrolled "Specialist" provider in Fargo, North Dakota. Their current practice location is 2601 University Dr S, Fargo, North Dakota. You can reach out to their office (for appointments etc.) via phone at (701) 235-5200.

Bergstrom Eye And Laser Clinic is licensed to practice in North Dakota (license number 7230) and it also participates in the medicare program. Bergstrom Eye And Laser Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1801819826.

Contact Information

Bergstrom Eye And Laser Clinic
2601 University Dr S,
Fargo, ND 58103-6025
(701) 235-5200
(701) 237-0927

Map and Direction




Healthcare Provider's Profile

Full NameBergstrom Eye And Laser Clinic
TypeFacility
SpecialitySpecialist
Location2601 University Dr S, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801819826
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 07/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3577542216
  • Enrollment ID: O20040716000370

Medical Identifiers

Medical identifiers for Bergstrom Eye And Laser Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801819826NPI-NPPES
01068001OtherNDBLUE CROSS OF ND
33A70BEOtherMNCOMPREHENSIVE CARE SERVIC
33A70BEOtherMNBLUEPLUS OF MN
12698MedicaidND
33A70BEOtherMNBLUE CROSS OF MN
01068001OtherNDBLUE CROSS FEDERAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 545 (North Dakota)Secondary
152W00000XOptometrist 2581 (Minnesota)Secondary
174400000XSpecialist 7230 (North Dakota)Primary
174400000XSpecialist 38105 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bergstrom Eye And Laser Clinic acts as a billing entity for following providers:
Provider NameLance K Bergstrom
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578509733
PECOS PAC ID: 5092794735
Enrollment ID: I20100825000247
Provider NameTracie Malsom
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720038441
PECOS PAC ID: 8628085750
Enrollment ID: I20131126001931
Provider NameMatthew Stein
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205501095
PECOS PAC ID: 6507261708
Enrollment ID: I20210826001498
Provider NameCody Scott Ward
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184364093
PECOS PAC ID: 6305282914
Enrollment ID: I20240416002398
Provider NameEmily J Heinrich
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1982591079
PECOS PAC ID: 5698280659
Enrollment ID: I20250717001719
Provider NameJennifer Ackerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851117428
PECOS PAC ID: 2769964865
Enrollment ID: I20260306002784

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. Bergstrom Eye And Laser Clinic 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 AddressPractice Location Address
Bergstrom Eye And Laser Clinic
2601 University Dr S,
Fargo, ND 58103-6025

Ph: (701) 235-5200		Bergstrom Eye And Laser Clinic
2601 University Dr S,
Fargo, ND 58103-6025

Ph: (701) 235-5200

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.