Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT - Medicare Clinical Social Worker in Shelby, MT

Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT is a medicare enrolled "Social Worker - Clinical" provider in Shelby, Montana. His current practice location is 1950 W Roosevelt Hwy, Shelby, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 434-3100.

Jeffrey Robert Bergstrom is licensed to practice in Montana (license number 49993) 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 1558840850.

Contact Information

Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT
1950 W Roosevelt Hwy,
Shelby, MT 59474-1549
(406) 434-3100
Not Available



Healthcare Provider's Profile

Full NameJeffrey Robert Bergstrom
GenderMale
SpecialitySocial Worker - Clinical
Location1950 W Roosevelt Hwy, Shelby, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558840850
  • Provider Enumeration Date: 08/08/2018
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183014285
  • Enrollment ID: I20230113001427

Medical Identifiers

Medical identifiers for Jeffrey Robert Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558840850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 100963 (California)Secondary
1041C0700XSocial Worker - Clinical 4686 (Hawaii)Secondary
1041C0700XSocial Worker - Clinical 40757 (Idaho)Secondary
1041C0700XSocial Worker - Clinical 49993 (Montana)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. Jeffrey Robert Bergstrom allows following entities to bill medicare on his behalf.
Entity NameFamily Health Centers Of San Diego, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923

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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. Jeffrey Robert 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 AddressPractice Location Address
Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT
Po Box 444,
Mullan, ID 83846-0444

Ph: (208) 446-6758
Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT
1950 W Roosevelt Hwy,
Shelby, MT 59474-1549

Ph: (406) 434-3100

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USA Today: "Sweeping ethics rules passed by Congress in 2007 require corporate interests that lobby Washington to reveal more information than ever, such as how much they donate to politicians' favorite charities.

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Social Worker in Shelby, MT

Tanya Alicia Saylor, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1950 W Roosevelt Hwy, Shelby, MT 59474
Phone: 406-434-3100    Fax: 406-434-3143
Michael Don Mahana, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 925 Oilfield Ave Ste 2, Center For Mental Health, Shelby, MT 59474
Phone: 406-434-5285    Fax: 406-791-9629
Mrs. Mary Louise Meis, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 236 Main St, 2nd Floor, Shelby, MT 59474
Phone: 406-434-5276    Fax: 406-424-2714
Dr. Lorena Wood, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 670 Park Ave, Shelby, MT 59474
Phone: 406-434-3100    

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