Dr Jennette Sepulvado Bergstedt, MD is a medicare enrolled "Pediatrics" physician in Winnfield, Louisiana. Her current practice location is
431 W Lafayette St, Winnfield, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 648-0375.
Dr Jennette Sepulvado Bergstedt is licensed to practice in Louisiana (license number 021307) 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 1871564807.
Physician's Profile
Full Name | Dr Jennette Sepulvado Bergstedt |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 431 W Lafayette St, Winnfield, Louisiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871564807
- Provider Enumeration Date: 01/28/2006
- Last Update Date: 12/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193155463
- Enrollment ID: I20200429000845
Medical Identifiers
Medical identifiers for Dr Jennette Sepulvado Bergstedt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871564807 | NPI | - | NPPES |
1655724 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 021307 (Louisiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jennette Sepulvado Bergstedt allows following entities to bill medicare on her behalf.
Entity Name | Winn Community Health Center, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
---|
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 Jennette Sepulvado Bergstedt 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 |
Dr Jennette Sepulvado Bergstedt, MD 431 W Lafayette St, Winnfield, LA 71483-3463 Ph: (318) 648-0375 | Dr Jennette Sepulvado Bergstedt, MD 431 W Lafayette St, Winnfield, LA 71483-3463 Ph: (318) 648-0375 |
Reviews and Comments