Michael G Bergeson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Centerville, Utah. His current practice location is
136 W 1300 North Cir, Centerville, Utah. You can reach out to his office (for appointments etc.) via phone at
(804) 335-7421.
Michael G Bergeson is licensed to practice in Virginia (license number 0001264680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477068294.
Provider's Profile
Full Name | Michael G Bergeson |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 136 W 1300 North Cir, Centerville, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477068294
- Provider Enumeration Date: 12/04/2017
- Last Update Date: 04/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 7315208428
- Enrollment ID: I20210301002713
Medical Identifiers
Medical identifiers for Michael G Bergeson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477068294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 0001264680 (Virginia) | Primary |
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. Michael G Bergeson allows following entities to bill medicare on his behalf.
Entity Name | Elite Anesthesia Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922627975 PECOS PAC ID: 2668885575 Enrollment ID: O20210114001879 |
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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. Michael G Bergeson 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 |
Michael G Bergeson, CRNA 136 W 1300 North Cir, Centerville, UT 84014-1400 Ph: (804) 335-7421 | Michael G Bergeson, CRNA 136 W 1300 North Cir, Centerville, UT 84014-1400 Ph: (804) 335-7421 |
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