Rose Bergquist, PA - Medicare Clinical Nurse Specialist in Hettinger, ND

Rose Bergquist, PA is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Hettinger, North Dakota. Her current practice location is 1000 Highway 12, Hettinger, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 567-4561.

Rose Bergquist is licensed to practice in North Dakota (license number PAC0235) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952401200.

Contact Information

Rose Bergquist, PA
1000 Highway 12,
Hettinger, ND 58639-7530
(701) 567-4561
(701) 567-6361



Provider's Profile

Full NameRose Bergquist
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location1000 Highway 12, Hettinger, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952401200
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 02/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517126519
  • Enrollment ID: I20120312000287

Medical Identifiers

Medical identifiers for Rose Bergquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952401200NPI-NPPES
19144OtherNDBLUE CROSS OF NORTH DAKOT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PAC0235 (North Dakota)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health PAC0235 (North Dakota)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. Rose Bergquist 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
Rose Bergquist, PA
1000 Highway 12,
Hettinger, ND 58639-7530

Ph: (701) 567-4561
Rose Bergquist, PA
1000 Highway 12,
Hettinger, ND 58639-7530

Ph: (701) 567-4561

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Clinical Nurse Specialist Nurses in Hettinger, ND

John Roll, APRN,CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    

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