Dwight A Bergquist Md Inc - Medicare Mental Health Clinic in Lakewood, CA

Dwight A Bergquist Md Inc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Lakewood, California. The current practice location for Dwight A Bergquist Md Inc is 5230 N. Clark Avenue, Suite 10, Lakewood, California. For appointments, you can reach them via phone at (562) 804-4428. The mailing address for Dwight A Bergquist Md Inc is 5230 N. Clark Avenue, Suite 10, Lakewood, California and phone number is (562) 804-4428.

Dwight A Bergquist Md Inc is licensed to practice in California (license number G38711). The clinic also participates in the medicare program and its NPI number is 1003110495. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (562) 804-4428.

Contact Information

Dwight A Bergquist Md Inc
5230 N. Clark Avenue
Suite 10
Lakewood
CA 90712-2649
(562) 804-4428
(562) 867-5264

Mental Health Clinic Profile

Full NameDwight A Bergquist Md Inc
SpecialityPsychiatry & Neurology
Location5230 N. Clark Avenue, Lakewood, California
Authorized Official Name and PositionDwight A Bergquist (CEO)
Authorized Official Contact5628044428
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dwight A Bergquist Md Inc
5230 N. Clark Avenue
Suite 10
Lakewood
CA 90712-2649

Ph: (562) 804-4428
Dwight A Bergquist Md Inc
5230 N. Clark Avenue
Suite 10
Lakewood
CA 90712-2649

Ph: (562) 804-4428

NPI Details:

NPI Number1003110495
Provider Enumeration Date12/29/2010
Last Update Date06/04/2013

Medicare PECOS Information:

Medicare PECOS PAC ID3173703972
Medicare Enrollment IDO20110211000123

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Medical Identifiers

Medical identifiers for Dwight A Bergquist Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003110495NPI-NPPES
1053407544OtherCATYPE 1 NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry G38711 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dwight A Bergquist Md Inc acts as a billing entity for following providers:
Provider NameDwight A Bergquist
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053407544
PECOS PAC ID: 1456455674
Enrollment ID: I20110211000278

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