David N Bergthold, MSN-ACNP | |
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
(573) 302-2287 | |
(573) 302-2241 |
Full Name | David N Bergthold |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 54 Hospital Dr, Osage Beach, Missouri |
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 |
---|---|---|---|
1336331065 | NPI | - | NPPES |
1336331065 | Medicaid | MO | |
135570015 | Other | MO | MEDICARE PTAN |
P00750268 | Other | MO | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 139652 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Health System | Osage beach, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Regional Health System | 9133026776 | 80 |
Entity Name | Lake Regional Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Mailing Address | Practice Location Address |
---|---|
David N Bergthold, MSN-ACNP Po Box 1500, Osage Beach, MO 65065-1500 Ph: () - | David N Bergthold, MSN-ACNP 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2287 |
Hailey Dunn, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751 | |
Maury Rose Hefele, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Buoyant Pl, Osage Beach, MO 65065 Phone: 573-673-4584 | |
Jeannie M. Carlton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 102, Osage Beach, MO 65065 Phone: 573-348-8045 Fax: 573-348-8046 | |
Brandi Nicole Kincaid, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2772 Fax: 573-302-2264 | |
Hallie Jean Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
Mrs. Megan A Ray, WHNP-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Lyndsay D Funke, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-3199 Fax: 573-302-3198 |