Robert Nelson Bertoldo, DO - Medicare Preventive Medicine in Ogden, UT

Robert Nelson Bertoldo, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Ogden, Utah. His current practice location is 4401 Harrison Blvd Ste 1885, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-4870.

Robert Nelson Bertoldo is licensed to practice in Utah (license number 7376667-1204) 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 1275509176.

Contact Information

Robert Nelson Bertoldo, DO
4401 Harrison Blvd Ste 1885,
Ogden, UT 84403-3195
(801) 387-4870
(801) 387-4875



Physician's Profile

Full NameRobert Nelson Bertoldo
GenderMale
SpecialityPreventive Medicine - Undersea And Hyperbaric Medicine
Location4401 Harrison Blvd Ste 1885, Ogden, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275509176
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 11/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870522485
  • Enrollment ID: I20090821000578

Medical Identifiers

Medical identifiers for Robert Nelson Bertoldo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275509176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine K6988 (Texas)Secondary
2083A0100XPreventive Medicine - Aerospace Medicine K6988 (Texas)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine K6988 (Texas)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 7376667-1204 (Utah)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. Robert Nelson Bertoldo allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Robert Nelson Bertoldo 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
Robert Nelson Bertoldo, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Robert Nelson Bertoldo, DO
4401 Harrison Blvd Ste 1885,
Ogden, UT 84403-3195

Ph: (801) 387-4870

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Preventive Medicine Doctors in Ogden, UT

Dr. Annette G Burst, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 3500 Harrison Blvd Ste 200, Ogden, UT 84403
Phone: 801-668-2010    Fax: 801-627-2228
Alison Hatch, RN-BSN
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 477 23rd St, Ogden, UT 84401
Phone: 801-399-7238    

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