Dr Jack E Bergstrom, DC in Alhambra, CA - Medicare Chiropractor Provider

Dr Jack E Bergstrom, DC is a medicare enrolled "Chiropractor" provider in Alhambra, California. His current practice location is 84 S Palm Ave, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at (626) 280-9968.

Dr Jack E Bergstrom is licensed to practice in California (license number 36290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548969702.

Contact Information

	Dr Jack E Bergstrom, DC
	84 S Palm Ave, Alhambra, CA 91801-3101
	(626) 280-9968
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack E Bergstrom
Gender	Male
Speciality	Chiropractor
Location	84 S Palm Ave, Alhambra, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548969702
Provider Enumeration Date: 02/27/2023
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0143683938
Enrollment ID: I20230828000023

Medical Identifiers

Medical identifiers for Dr Jack E Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548969702	NPI	-	NPPES
36290	Other	CA	CALIFORNIA CHIROPRACTIC BOARD
F3317513	Other	CA	CALIFORNIA DRIVERS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	36290 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack E Bergstrom allows following entities to bill medicare on his behalf.

Provider Name	United Integrated Medical Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225418767 PECOS PAC ID: 3173836525 Enrollment ID: O20150715000035

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. Dr Jack E 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
Dr Jack E Bergstrom, DC 1309 N Birchnell Ave, San Dimas, CA 91773-1003 Ph: (626) 482-2481	Dr Jack E Bergstrom, DC 84 S Palm Ave, Alhambra, CA 91801-3101 Ph: (626) 280-9968

Reviews and Comments

Chiropractor in Alhambra, CA

Tracy Lam, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 84 S Palm Ave, Alhambra, CA 91801 Phone: 626-280-9968
Dr. Denny Sing Wong, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1800 S Valencia St, Alhambra, CA 91801 Phone: 626-308-0732
Dr. Kornelius Tjandra Subadya, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1014 S Garfield Ave, Alhambra, CA 91801 Phone: 626-576-1234
Dr. Kirby Kwok Yung Lee, D.C., LAC, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 41 North Garfield Ave., # 103, Alhambra, CA 91801 Phone: 626-404-7373
Dr. Waleed Kattar, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 320 S Garfield Ave Ste 322, Alhambra, CA 91801 Phone: 626-570-9892 Fax: 626-570-9894
Dr. Miki Hayashi, D.C., LAC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 320 S Garfield Ave, #222, Alhambra, CA 91801 Phone: 626-872-2030
Dr. Jason Chung, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 S Garfield Ave, Suite 418, Alhambra, CA 91801 Phone: 626-570-8838 Fax: 626-570-8878

Dr Jack E Bergstrom, DC - Medicare Chiropractor in Alhambra, CA