Mr Deane Bergsrud, PA - Physician Assistant in Alexandria, VA

Mr Deane Bergsrud, PA is a Physician Assistant based in Alexandria, Virginia. Mr Deane Bergsrud is licensed to practice in Virginia (license number 0110000120) and his current practice location is 4660 Kenmore Ave, Suite 900, Alexandria, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 212-0700.

NPI number for Mr Deane Bergsrud is 1124234455 and his current mailing address is 4660 Kenmore Ave, Suite 900, Alexandria, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124234455.

Contact Information

Mr Deane Bergsrud, PA
4660 Kenmore Ave, Suite 900,
Alexandria, VA 22304-1313
(703) 212-0700
(703) 212-0705



Provider's Profile

Full NameMr Deane Bergsrud
GenderMale
SpecialityPhysician Assistant
Location4660 Kenmore Ave, Alexandria, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124234455
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Deane Bergsrud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124234455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110000120 (Virginia)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. Mr Deane Bergsrud 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
Mr Deane Bergsrud, PA
4660 Kenmore Ave, Suite 900,
Alexandria, VA 22304-1313

Ph: (703) 212-0700
Mr Deane Bergsrud, PA
4660 Kenmore Ave, Suite 900,
Alexandria, VA 22304-1313

Ph: (703) 212-0700

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Physician Assistant Nurses in Alexandria, VA

Jessica Suppa Ware, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Ford Ave Ste 250, Alexandria, VA 22302
Phone: 703-379-8879    Fax: 703-998-6821
Mr. William Russell Bartow Jr,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Parkers Ln, Alexandria, VA 22306
Phone: 703-664-7218    Fax: 703-664-7317
Ms. Nancy Saunders, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4401 Ford Ave, Suite 250, Alexandria, VA 22302
Phone: 703-379-8879    Fax: 703-998-6821
Stephanie Rodriguez-wang,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4401 Ford Ave Apt 642, Alexandria, VA 22302
Phone: 858-263-9971    
Lauren M Dailey, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 6355 Walker Ln, Suite 401, Alexandria, VA 22310
Phone: 703-924-2100    
Brett Briard,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2109 Mill Rd Apt 227, Alexandria, VA 22314
Phone: 916-390-7433    
Jessica Del Rossi, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2800 Eisenhower Ave Ste 200, Alexandria, VA 22314
Phone: 703-562-9220    Fax: 703-520-7745

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