Mr Max Frederick Bergstrom, PA-C in Statesville, NC

Mr Max Frederick Bergstrom, PA-C is a medicare enrolled "Physician Assistant" in Statesville, North Carolina. His current practice location is 705 Gaither Rd, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 871-1155.

Mr Max Frederick Bergstrom is licensed to practice in North Carolina (license number 0010-11420) 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 1104591874.

Contact Information

	Mr Max Frederick Bergstrom, PA-C
	705 Gaither Rd, Statesville, NC 28625-3450
	(704) 871-1155
	(704) 872-2484

Map and Direction

Provider's Profile

Full Name	Mr Max Frederick Bergstrom
Gender	Male
Speciality
Experience	Years
Location	705 Gaither Rd, Statesville, North Carolina
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:

Mr Max Frederick Bergstrom attended and graduated from in

NPI Data:

NPI Number: 1104591874
Provider Enumeration Date: 08/13/2021
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Max Frederick Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104591874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-11420 (North Carolina)	Primary

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. Mr Max Frederick Bergstrom 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
Mr Max Frederick Bergstrom, PA-C Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Mr Max Frederick Bergstrom, PA-C 705 Gaither Rd, Statesville, NC 28625-3450 Ph: (704) 871-1155

Reviews and Comments

Physician Assistant Nurses in Statesville, NC

Summer Elizabeth Lackey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484
Ms. Bridgette Ann Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Signal Hill Dr Ste C, Statesville, NC 28625 Phone: 704-871-8999
Mrs. Allyson M. Savery, PA-C, M.S. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625 Phone: 704-883-8660 Fax: 704-883-8661
Bethany E Skaggs, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 619 Sullivan Rd, Statesville, NC 28677 Phone: 704-924-9111
Jill Suzanne Calhoun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 738 Bryant St Ste A, Statesville, NC 28677 Phone: 704-873-1189 Fax: 704-873-1116
Mr. Shawn M O'keefe, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1414 Fern Creek Dr, Statesville, NC 28625 Phone: 704-873-6065
Ms. Kacie Miller Teeter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 Davie Ave, Statesville Family Practice, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159

Mr Max Frederick Bergstrom, PA-C - Medicare in Statesville, NC