Mrs Shelly Kay Bergum, NP in Sacramento, CA - Medicare Nurse Practitioner

Mrs Shelly Kay Bergum, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sacramento, California. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regents Of The Univ Of Ca and her current practice location is 2315 Stockton Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 734-5538.

Mrs Shelly Kay Bergum is licensed to practice in California (license number 17398) 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 1487854691.

Contact Information

	Mrs Shelly Kay Bergum, NP
	2315 Stockton Blvd, Sacramento, CA 95817-2201
	(916) 734-5538
	(916) 734-0907

Map and Direction

Provider's Profile

Full Name	Mrs Shelly Kay Bergum
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	2315 Stockton Blvd, Sacramento, California
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 Shelly Kay Bergum graduated from nursing school in 2007

NPI Data:

NPI Number: 1487854691
Provider Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007

Medicare PECOS Information:

PECOS PAC ID: 2769531367
Enrollment ID: I20090529000476

Medical Identifiers

Medical identifiers for Mrs Shelly Kay Bergum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487854691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	17398 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The Univ Of Ca	3375456619	1360

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 Shelly Kay Bergum allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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 Shelly Kay Bergum 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 Shelly Kay Bergum, NP 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-5538	Mrs Shelly Kay Bergum, NP 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-5538

Reviews and Comments

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Mrs Shelly Kay Bergum, NP - Medicare Nurse Practitioner in Sacramento, CA