Dr Anthony W Bergstrom, O D is a medicare enrolled "Optometrist" provider in Stevenson, Washington. He went to Pacific University - College Of Optometry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. His current practice location is
136 Nw 2nd St, Stevenson, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 427-2020.
Dr Anthony W Bergstrom is licensed to practice in Washington (license number OD00003314) 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 1306917356.
Healthcare Provider's Profile
| Full Name | Dr Anthony W Bergstrom |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 28 Years |
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| Location | 136 Nw 2nd St, Stevenson, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anthony W Bergstrom attended and graduated from Pacific University - College Of Optometry in 1996
NPI Data:
- NPI Number: 1306917356
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 08/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 0648448282
- Enrollment ID: I20110726000182
Medical Identifiers
Medical identifiers for Dr Anthony W Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306917356 | NPI | - | NPPES |
| 2022325 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD00003314 (Washington) | 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. Dr Anthony W Bergstrom allows following entities to bill medicare on his behalf.
| Provider Name | Stevenson Family Eye Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548692437
PECOS PAC ID: 1557590916
Enrollment ID: O20140205000144 |
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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. Dr Anthony W 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 |
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Dr Anthony W Bergstrom, O D
Po Box 378,
Stevenson, WA 98648-0378
Ph: (509) 427-2020 | Dr Anthony W Bergstrom, O D
136 Nw 2nd St,
Stevenson, WA 98648-4225
Ph: (509) 427-2020 |
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