Dr Jaclyn Merry Bergstrom, DC in Portland, OR - Medicare Chiropractor Provider

Dr Jaclyn Merry Bergstrom, DC is a medicare enrolled "Chiropractor" provider in Portland, Oregon. Her current practice location is 2900 Ne 132nd Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 255-6771.

Dr Jaclyn Merry Bergstrom is licensed to practice in Oregon (license number 5133) 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 1598715336.

Contact Information

	Dr Jaclyn Merry Bergstrom, DC
	2900 Ne 132nd Ave, Portland, OR 97230-3014
	(503) 255-6771
	(503) 251-5794

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaclyn Merry Bergstrom
Gender	Female
Speciality	Chiropractor
Location	2900 Ne 132nd Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598715336
Provider Enumeration Date: 05/11/2006
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 7719932003
Enrollment ID: I20150414002735

Medical Identifiers

Medical identifiers for Dr Jaclyn Merry Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598715336	NPI	-	NPPES
044057400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	705 (North Dakota)	Secondary
111N00000X	Chiropractor	4665 (Minnesota)	Secondary
111N00000X	Chiropractor	5133 (Oregon)	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 Jaclyn Merry Bergstrom allows following entities to bill medicare on her behalf.

Provider Name	University Of Western States
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053457325 PECOS PAC ID: 7315932563 Enrollment ID: O20040416001151

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 Jaclyn Merry 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 Jaclyn Merry Bergstrom, DC 2900 Ne 132nd Ave, Portland, OR 97230-3014 Ph: (503) 255-6771	Dr Jaclyn Merry Bergstrom, DC 2900 Ne 132nd Ave, Portland, OR 97230-3014 Ph: (503) 255-6771

Reviews and Comments

Chiropractor in Portland, OR

Dorian D Quinn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6230 Ne Halsey St, Portland, OR 97213 Phone: 503-236-8697 Fax: 503-236-8697
Dr. Daniel Antonio Lujan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Sw Corbett Ave, Portland, OR 97239 Phone: 503-225-9033 Fax: 503-225-9039
Beaumont Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4211 Ne Fremont St, Portland, OR 97213 Phone: 503-287-6666 Fax: 503-287-1390
Caressa Gullikson, Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne 20th Ave Ste 20, Portland, OR 97232 Phone: 974-229-1384
Dr. Dylan Savage, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1030 Nw Marshall St, Portland, OR 97209 Phone: 503-227-2279
Active Injury Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5253 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-766-4881
Dr. Marelle O'meara, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Sw Morrison St, Suite 905, Portland, OR 97204 Phone: 503-222-7304 Fax: 503-227-8210

Dr Jaclyn Merry Bergstrom, DC - Medicare Chiropractor in Portland, OR