Richard A Bertelsen Jr, MD is a medicare enrolled "Hospitalist" physician in Bolivar, Missouri. He went to Wake Forest University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Physician Groups Lc, Banner Hospital Based Physicians Colorado Llc and his current practice location is
1500 N Oakland Ave, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 326-6000.
Richard A Bertelsen Jr is licensed to practice in Missouri (license number MD119768) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427153766.
Physician's Profile
Full Name | Richard A Bertelsen Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 35 Years |
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Location | 1500 N Oakland Ave, Bolivar, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Richard A Bertelsen Jr attended and graduated from Wake Forest University School Of Medicine in 1990
NPI Data:
- NPI Number: 1427153766
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527026855
- Enrollment ID: I20050103000569
Medical Identifiers
Medical identifiers for Richard A Bertelsen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427153766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 119768 (Missouri) | Secondary |
208M00000X | Hospitalist | MD119768 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Physician Groups Lc | 3072421254 | 427 |
Banner Hospital Based Physicians Colorado Llc | 6800031386 | 74 |
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. Richard A Bertelsen Jr allows following entities to bill medicare on his behalf.
Entity Name | Saint Francis Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
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Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
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Entity Name | Butler Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
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Entity Name | P&c Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124575923 PECOS PAC ID: 3779861109 Enrollment ID: O20170302001808 |
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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. Richard A Bertelsen Jr 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 |
Richard A Bertelsen Jr, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Richard A Bertelsen Jr, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
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