Dr Jacqueline Maida Bergdoll, MD - General Practice in Seale, AL

Dr Jacqueline Maida Bergdoll, MD is a General Practice physician based in Seale, Alabama. Dr Jacqueline Maida Bergdoll is licensed to practice in Michigan (license number 4301077244) and her current practice location is 30 Uchee Pines Rd Lot 75, Seale, Alabama. She can be reached at her office (for appointments etc.) via phone at (334) 855-4764.

NPI number for Dr Jacqueline Maida Bergdoll is 1174749717 and her current mailing address is 30 Uchee Pines Rd Lot 61, Seale, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174749717.

Contact Information

Dr Jacqueline Maida Bergdoll, MD
30 Uchee Pines Rd Lot 75,
Seale, AL 36875-5726
(334) 855-4764
(334) 855-9014



Physician's Profile

Full NameDr Jacqueline Maida Bergdoll
GenderFemale
SpecialityGeneral Practice
Location30 Uchee Pines Rd Lot 75, Seale, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174749717
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jacqueline Maida Bergdoll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174749717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301077244 (Michigan)Primary

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 Jacqueline Maida Bergdoll is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacqueline Maida Bergdoll, MD
30 Uchee Pines Rd Lot 61,
Seale, AL 36875-5734

Ph: (334) 855-4765
Dr Jacqueline Maida Bergdoll, MD
30 Uchee Pines Rd Lot 75,
Seale, AL 36875-5726

Ph: (334) 855-4764

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› Verified 8 days ago


General Practice Doctors in Seale, AL

Dr. James Irwin Horsley, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 30 Uchee Pines Rd Lot 75, Seale, AL 36875
Phone: 334-855-4764    Fax: 334-855-9014

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