Dr Jacqueline Maida Bergdoll, MD is a
General Practice physician based in Seale, Alabama. Dr Jacqueline Maida Bergdoll is licensed to practice in Michigan (license number 4301077244) and her current practice location is 30 Uchee Pines Rd Lot 75, Seale, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 855-4764.
NPI number for Dr Jacqueline Maida Bergdoll is 1174749717 and her current mailing address is 30 Uchee Pines Rd Lot 61, Seale, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174749717.
Physician's Profile
Full Name | Dr Jacqueline Maida Bergdoll |
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Gender | Female |
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Speciality | General Practice |
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Location | 30 Uchee Pines Rd Lot 75, Seale, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174749717
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jacqueline Maida Bergdoll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174749717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301077244 (Michigan) | 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 Jacqueline Maida Bergdoll 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 Jacqueline Maida Bergdoll, MD 30 Uchee Pines Rd Lot 61, Seale, AL 36875-5734 Ph: (334) 855-4765 | Dr Jacqueline Maida Bergdoll, MD 30 Uchee Pines Rd Lot 75, Seale, AL 36875-5726 Ph: (334) 855-4764 |
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