Mr Michael Alvin Bergondo, MSW is a
Social Worker - Clinical based in La Junta, Colorado. Mr Michael Alvin Bergondo is licensed to practice in Colorado (license number 992947) and his current practice location is
1100 Carson Ave, Suite 104, La Junta, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 383-5195.
NPI number for Mr Michael Alvin Bergondo is 1629320239 and his current mailing address is 2135 Fowler St, Canon City, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629320239.
Healthcare Provider's Profile
Full Name | Mr Michael Alvin Bergondo |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1100 Carson Ave, La Junta, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629320239
- Provider Enumeration Date: 10/05/2012
- Last Update Date: 10/05/2012
Medical Identifiers
Medical identifiers for Mr Michael Alvin Bergondo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629320239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 992947 (Colorado) | 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. Mr Michael Alvin Bergondo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael Alvin Bergondo, MSW 2135 Fowler St, Canon City, CO 81212-3927 Ph: (719) 269-9296 | Mr Michael Alvin Bergondo, MSW 1100 Carson Ave, Suite 104, La Junta, CO 81050-2751 Ph: (719) 383-5195 |
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