Tamara E Bergum, MFT is a
Marriage & Family Therapist based in Hayward, Wisconsin. Tamara E Bergum is licensed to practice in Wisconsin (license number 141-228) and her current practice location is
15655 W County Road B, Hayward, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 634-0607.
NPI number for Tamara E Bergum is 1972835601 and her current mailing address is 15655 W County Road B, P.o. Box 13251, Hayward, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972835601.
Healthcare Provider's Profile
Full Name | Tamara E Bergum |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 15655 W County Road B, Hayward, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972835601
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 02/05/2010
Medical Identifiers
Medical identifiers for Tamara E Bergum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972835601 | NPI | - | NPPES |
141-228 | Other | WI | WI DRL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 141-228 (Wisconsin) | 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. Tamara E Bergum 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 |
Tamara E Bergum, MFT 15655 W County Road B, P.o. Box 13251, Hayward, WI 54843-2680 Ph: (715) 634-0607 | Tamara E Bergum, MFT 15655 W County Road B, Hayward, WI 54843-3251 Ph: (715) 634-0607 |
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