Henryetta Hope Bergstresser, is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. Her current practice location is
427 F St Ste 215, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 296-9939.
Henryetta Hope Bergstresser is licensed to practice in California (license number LCSW90746) 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 1831442532.
Healthcare Provider's Profile
Full Name | Henryetta Hope Bergstresser |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 427 F St Ste 215, Eureka, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831442532
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052739836
- Enrollment ID: I20200903000370
Medical Identifiers
Medical identifiers for Henryetta Hope Bergstresser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831442532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW 36230 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW90746 (California) | 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. Henryetta Hope Bergstresser 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 |
Henryetta Hope Bergstresser, Po Box 143, Bayside, CA 95524-0143 Ph: (707) 296-9939 | Henryetta Hope Bergstresser, 427 F St Ste 215, Eureka, CA 95501-1040 Ph: (707) 296-9939 |
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