Dr Barry J Bergen, MD is a
Psychiatry & Neurology - Neurology physician based in Cottonwood, Idaho. Dr Barry J Bergen is licensed to practice in Idaho (license number M4883) and his current practice location is 701 Lewiston St, Cottonwood, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 962-3267.
NPI number for Dr Barry J Bergen is 1538165592 and his current mailing address is 701 Lewiston St, Cottonwood, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538165592.
Physician's Profile
| Full Name | Dr Barry J Bergen |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 701 Lewiston St, Cottonwood, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538165592
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Barry J Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538165592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M4883 (Idaho) | 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. Dr Barry J Bergen 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 |
|---|
Dr Barry J Bergen, MD
701 Lewiston St,
Cottonwood, ID 83522-9750
Ph: (208) 962-3267 | Dr Barry J Bergen, MD
701 Lewiston St,
Cottonwood, ID 83522-9750
Ph: (208) 962-3267 |
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