Jordan Leigh Bergstrom, AUD in Elkhart, IN - Medicare Qualified Audiologist Provider

Jordan Leigh Bergstrom, AUD is a medicare enrolled "Audiologist" provider in Elkhart, Indiana. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 1753 Fulton St, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 293-9448.

Jordan Leigh Bergstrom is licensed to practice in Indiana (license number 23002688A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750941779.

Contact Information

	Jordan Leigh Bergstrom, AUD
	1753 Fulton St, Elkhart, IN 46514-1927
	(574) 293-9448
	(574) 293-9480

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Leigh Bergstrom
Gender	Female
Speciality	Qualified Audiologist
Experience	5 Years
Location	1753 Fulton St, Elkhart, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Leigh Bergstrom graduated from medical school in 2019

NPI Data:

NPI Number: 1750941779
Provider Enumeration Date: 06/20/2019
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7315272390
Enrollment ID: I20190712001817

Medical Identifiers

Medical identifiers for Jordan Leigh Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750941779	NPI	-	NPPES
300027641	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	23002688A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	444

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. Jordan Leigh Bergstrom allows following entities to bill medicare on her behalf.

Provider Name	Beacon Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Jordan Leigh 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 Address	Practice Location Address
Jordan Leigh Bergstrom, AUD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Jordan Leigh Bergstrom, AUD 1753 Fulton St, Elkhart, IN 46514-1927 Ph: (574) 293-9448

Reviews and Comments

Audiologist in Elkhart, IN

Abigail Anne Johnson, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392
Ms. Karen L. Zigon, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3291 Fax: 574-296-3383
Dr. Courtney Elizabeth Hart, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480
Dr. Elizabeth Marie Stockwell, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480
Alexa M Rozycki, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480
Patricia Welty, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1755 Fulton St, Suite A, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392

Jordan Leigh Bergstrom, AUD - Medicare Audiologist in Elkhart, IN