Mrs Autumn L Bertholdi, PA in Springfield, MO - Medicare Physician Assistant

Mrs Autumn L Bertholdi, PA is a medicare enrolled "Dermatology" in Springfield, Missouri. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mike Swann, Md, Llc and her current practice location is 3850 S National Ave Ste 705, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 888-0858.

Mrs Autumn L Bertholdi is licensed to practice in Missouri (license number 2006010979) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013944024.

Contact Information

	Mrs Autumn L Bertholdi, PA
	3850 S National Ave Ste 705, Springfield, MO 65807-5239
	(417) 888-0858
	(417) 889-0476

Map and Direction

Provider's Profile

Full Name	Mrs Autumn L Bertholdi
Gender	Female
Speciality	Physician Assistant
Experience	19 Years
Location	3850 S National Ave Ste 705, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Autumn L Bertholdi graduated from nursing school in 2005

NPI Data:

NPI Number: 1013944024
Provider Enumeration Date: 06/26/2006
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1759393242
Enrollment ID: I20060627000313

Medical Identifiers

Medical identifiers for Mrs Autumn L Bertholdi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013944024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2006010979 (Missouri)	Secondary
207N00000X	Dermatology	2006010979 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mike Swann, Md, Llc	0941346068	6

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. Mrs Autumn L Bertholdi 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
Mrs Autumn L Bertholdi, PA 3850 S National Ave Ste 705, Springfield, MO 65807-5239 Ph: (417) 888-0858	Mrs Autumn L Bertholdi, PA 3850 S National Ave Ste 705, Springfield, MO 65807-5239 Ph: (417) 888-0858

Mrs Autumn L Bertholdi, PA - Medicare Physician Assistant in Springfield, MO