| Roy Thomas Bergman, MD | |
|
820 N Chelan Ave, Wenatchee, WA 98801-2028 | |
| (509) 663-8711 | |
| Not Available |
| Full Name | Roy Thomas Bergman |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 40 Years |
| Location | 820 N Chelan Ave, Wenatchee, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891860979 | NPI | - | NPPES |
| 1891860979 | Medicaid | WA | |
| 315943 | Other | WA | L&I POST 7/21/13 |
| P01256584 | Other | WA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD00029374 (Washington) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD00029374 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Washington Hospital | Wenatchee, WA | Hospital |
| Quincy Valley Medical Center | Quincy, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Washington Health Services Association | 4880504596 | 657 |
| Entity Name | Central Washington Health Services Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
| Entity Name | Wenatchee Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Thomas Bergman, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Roy Thomas Bergman, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 |
Dr. John R Rowles, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1201 S Miller St, Ste A, Wenatchee, WA 98801 Phone: 509-667-2003 Fax: 509-667-2363 |