Heather M Bergerud Od is a
Optometrist based in St. Louis Park, Minnesota. Heather M Bergerud Od is licensed to practice in Minnesota (license number 2621) and their current practice location is
3745 Louisiana Ave S, St. Louis Park, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 922-4427.
NPI number for Heather M Bergerud Od is 1497828842 and their current mailing address is 290 Greenleaf Ct., Chanhassen, Minnesota. Heather M Bergerud Od
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497828842.
Healthcare Provider's Profile
| Full Name | Heather M Bergerud Od |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 3745 Louisiana Ave S, St. Louis Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497828842
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Heather M Bergerud Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497828842 | NPI | - | NPPES |
| 2201839 | Other | MN | MEDICA |
| 300J5BE | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2621 (Minnesota) | 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. Heather M Bergerud Od is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heather M Bergerud Od
290 Greenleaf Ct.,
Chanhassen, MN 55317
Ph: (952) 403-1694 | Heather M Bergerud Od
3745 Louisiana Ave S,
St. Louis Park, MN 55426
Ph: (952) 922-4427 |
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