Mrs Sarah R Bergstrom, NP - Medicare Nurse Practitioner in Fairmont, WV

  1. Home
  2. Nurse Practitioner
  3. WV
  4. Fairmont
Mrs Sarah R Bergstrom, NP is a medicare enrolled "Nurse Practitioner" in Fairmont, West Virginia. Her current practice location is 1703 Locust Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 366-6100.

Mrs Sarah R Bergstrom is licensed to practice in West Virginia (license number APRN83284-NP-C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306369509.

Contact Information

Mrs Sarah R Bergstrom, NP
1703 Locust Ave,
Fairmont, WV 26554
(304) 366-6100
(304) 366-2220

Map and Direction




Provider's Profile

Full NameMrs Sarah R Bergstrom
GenderFemale
SpecialityNurse Practitioner
Location1703 Locust Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306369509
  • Provider Enumeration Date: 07/19/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810263381
  • Enrollment ID: I20171027001714

Medical Identifiers

Medical identifiers for Mrs Sarah R Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306369509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APRN83284-NP-C (West Virginia)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology APRN83284NP (West Virginia)Secondary
363L00000XNurse Practitioner APRN83284-NP-C (West 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. Mrs Sarah R Bergstrom allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

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 Sarah R 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 AddressPractice Location Address
Mrs Sarah R Bergstrom, NP
1703 Locust Ave,
Fairmont, WV 26554-1320

Ph: (304) 366-6100		Mrs Sarah R Bergstrom, NP
1703 Locust Ave,
Fairmont, WV 26554

Ph: (304) 366-6100

Reviews and Comments


Nurse Practitioner Nurses in Fairmont, WV

Kathryn Nicole Preast, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 814-494-2542    
Sariah Dale Waldron,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    
Therese Danielle Prosser, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    
Chelsy N Harmer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Huntington Way Ste 100, Fairmont, WV 26554
Phone: 304-366-6100    
Amber Sinclaire Weaver, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1044 Hite Cir, Fairmont, WV 26554
Phone: 304-476-8497    Fax: 772-238-2080
Tressa Bonasso,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 23 Tresara Dr, Fairmont, WV 26554
Phone: 304-694-5898    
Tyonna Marie Jones, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Stoney Hill Rd, Fairmont, WV 26554
Phone: 304-333-8840    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.