Tylea Bergman, is a
Physical Therapist based in Piedmont, South Dakota. Tylea Bergman is licensed to practice in South Dakota (license number 2234) and her current practice location is
21698 Piedmont Meadows Rd, Piedmont, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 390-4326.
NPI number for Tylea Bergman is 1942789425 and her current mailing address is 21698 Piedmont Meadows Rd, Piedmont, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942789425.
Healthcare Provider's Profile
| Full Name | Tylea Bergman |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
|---|
| Location | 21698 Piedmont Meadows Rd, Piedmont, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942789425
- Provider Enumeration Date: 08/07/2018
- Last Update Date: 12/04/2020
Medical Identifiers
Medical identifiers for Tylea Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942789425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 2199 (North Dakota) | Secondary |
| 225100000X | Physical Therapist | 2234 (South Dakota) | 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. Tylea Bergman 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 |
|---|
Tylea Bergman,
21698 Piedmont Meadows Rd,
Piedmont, SD 57769-7114
Ph: (605) 390-4326 | Tylea Bergman,
21698 Piedmont Meadows Rd,
Piedmont, SD 57769-7114
Ph: (605) 390-4326 |
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