Mr Max Frederick Bergstrom, PA-C - Medicare Physician Assistant in Statesville, NC

Mr Max Frederick Bergstrom, PA-C is a medicare enrolled "Physician Assistant" in Statesville, North Carolina. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern Oncology Specialists Pllc and his current practice location is 705 Gaither Rd, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 871-1155.

Mr Max Frederick Bergstrom is licensed to practice in North Carolina (license number 0010-11420) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104591874.

Contact Information

Mr Max Frederick Bergstrom, PA-C
705 Gaither Rd,
Statesville, NC 28625-3450
(704) 871-1155
Not Available



Provider's Profile

Full NameMr Max Frederick Bergstrom
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location705 Gaither Rd, Statesville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Max Frederick Bergstrom graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1104591874
  • Provider Enumeration Date: 08/13/2021
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406245448
  • Enrollment ID: I20211115000211

Medical Identifiers

Medical identifiers for Mr Max Frederick Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104591874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-11420 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Oncology Specialists Pllc40827395608

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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. Mr Max Frederick 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
Mr Max Frederick Bergstrom, PA-C
Po Box 1845,
Statesville, NC 28687-1845

Ph: (704) 873-4277
Mr Max Frederick Bergstrom, PA-C
705 Gaither Rd,
Statesville, NC 28625-3450

Ph: (704) 871-1155

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Physician Assistant Nurses in Statesville, NC

Summer Elizabeth Lackey, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 705 Gaither Rd, Statesville, NC 28625
Phone: 704-871-1155    Fax: 704-872-2484
Ms. Bridgette Ann Cooke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 340 Signal Hill Dr Ste C, Statesville, NC 28625
Phone: 704-871-8999    
Mrs. Allyson M. Savery, PA-C, M.S.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625
Phone: 704-883-8660    Fax: 704-883-8661
Bethany E Skaggs, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 619 Sullivan Rd, Statesville, NC 28677
Phone: 704-924-9111    
Jill Suzanne Calhoun, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 738 Bryant St Ste A, Statesville, NC 28677
Phone: 704-873-1189    Fax: 704-873-1116
Mr. Shawn M O'keefe, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1414 Fern Creek Dr, Statesville, NC 28625
Phone: 704-873-6065    
Ms. Kacie Miller Teeter, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 Davie Ave, Statesville Family Practice, Statesville, NC 28677
Phone: 704-873-3269    Fax: 704-871-8159

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