Tyler Bergstrom, | |
2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | |
(605) 342-3280 | |
Not Available |
Full Name | Tyler Bergstrom |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 4 Years |
Location | 2820 Mount Rushmore Rd, Rapid City, South Dakota |
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 |
---|---|---|---|
1619276334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9906 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Black Hills Surgical Hospital Llp | Rapid city, SD | Hospital |
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rapid City Medical Center Llp | 5890691075 | 91 |
Entity Name | Rapid City Medical Center Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558373845 PECOS PAC ID: 5890691075 Enrollment ID: O20031209000567 |
Mailing Address | Practice Location Address |
---|---|
Tyler Bergstrom, Po Box 6020, Rapid City, SD 57709-6020 Ph: () - | Tyler Bergstrom, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 |
Wesley L Sufficool, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Founders Park Dr Ste 2, Rapid City, SD 57701 Phone: 605-791-5553 Fax: 605-791-5644 | |
Michael Statz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. Tiffany Ann Frederickson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 8412 Kitt Peak Rd, Rapid City, SD 57702 Phone: 515-201-8982 | |
Kristin Wempe, MD Surgery Medicare: Medicare Enrolled Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
John Bedingfield, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
David D Slama, MD Surgery Medicare: Medicare Enrolled Practice Location: 717 Saint Francis St, Rapid City, SD 57701 Phone: 605-342-2880 Fax: 605-388-4621 | |
Shannon Alexandria Williams, MD Surgery Medicare: Medicare Enrolled Practice Location: 22805 5th St, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701 |