Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT in Shelby, MT

Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT is a medicare enrolled "Social Worker - Clinical" provider in Shelby, Montana. His current practice location is 1950 W Roosevelt Hwy, Shelby, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 434-3100.

Jeffrey Robert Bergstrom is licensed to practice in Montana (license number 49993) 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 1558840850.

Contact Information

	Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT
	1950 W Roosevelt Hwy, Shelby, MT 59474-1549
	(406) 434-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Robert Bergstrom
Gender	Male
Speciality	Social Worker - Clinical
Location	1950 W Roosevelt Hwy, Shelby, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558840850
Provider Enumeration Date: 08/08/2018
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4183014285
Enrollment ID: I20230113001427

Medical Identifiers

Medical identifiers for Jeffrey Robert Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558840850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	100963 (California)	Secondary
1041C0700X	Social Worker - Clinical	4686 (Hawaii)	Secondary
1041C0700X	Social Worker - Clinical	40757 (Idaho)	Secondary
1041C0700X	Social Worker - Clinical	49993 (Montana)	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. Jeffrey Robert Bergstrom allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Jeffrey Robert 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
Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT Po Box 444, Mullan, ID 83846-0444 Ph: (208) 446-6758	Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT 1950 W Roosevelt Hwy, Shelby, MT 59474-1549 Ph: (406) 434-3100

Reviews and Comments

Social Worker in Shelby, MT

Tanya Alicia Saylor, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1950 W Roosevelt Hwy, Shelby, MT 59474 Phone: 406-434-3100 Fax: 406-434-3143
Michael Don Mahana, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Oilfield Ave Ste 2, Center For Mental Health, Shelby, MT 59474 Phone: 406-434-5285 Fax: 406-791-9629
Mrs. Mary Louise Meis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 236 Main St, 2nd Floor, Shelby, MT 59474 Phone: 406-434-5276 Fax: 406-424-2714
Dr. Lorena Wood, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 670 Park Ave, Shelby, MT 59474 Phone: 406-434-3100

Jeffrey Robert Bergstrom, ACSW LMSW MPA RADT - Medicare Clinical Social Worker in Shelby, MT