Dr Theodore J Bergstrom, MD in Walla Walla, WA - Pediatrics

Dr Theodore J Bergstrom, MD is a Pediatrics physician based in Walla Walla, Washington. Dr Theodore J Bergstrom is licensed to practice in Washington (license number MD00022923) and his current practice location is 55 W Tietan St, Walla Walla, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 525-3720.

NPI number for Dr Theodore J Bergstrom is 1598739716 and his current mailing address is 55 W Tietan St, Walla Walla, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598739716.

Contact Information

	Dr Theodore J Bergstrom, MD
	55 W Tietan St, Walla Walla, WA 99362-4445
	(509) 525-3720
	(509) 522-1578

Physician's Profile

Full Name	Dr Theodore J Bergstrom
Gender	Male
Speciality	Pediatrics
Location	55 W Tietan St, Walla Walla, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1598739716
Provider Enumeration Date: 02/14/2006
Last Update Date: 11/27/2007

Medical Identifiers

Medical identifiers for Dr Theodore J Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598739716	NPI	-	NPPES
1007525	Medicaid	WA
10041910	Other	WA	RAIL ROAD MEDICARE
152421	Medicaid	OR
40225	Other	WA	L&I

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00022923 (Washington)	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 Theodore J Bergstrom 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 Address	Practice Location Address
Dr Theodore J Bergstrom, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720	Dr Theodore J Bergstrom, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720

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Pediatrics Doctors in Walla Walla, WA

Dr. Jennifer L Bolduc, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1578
Timothy Isamu O'connor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720
Rebekah Dickman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Donald K Ashley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010
Dr. Alison E Kirby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1578
Kristin Marie Satterfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8152
Trent D. Rogers, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 West Tietan Street, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593

Dr Theodore J Bergstrom, MD - Pediatrics in Walla Walla, WA