Douglas Alan Bergstrom, PHD in Prescott, AZ - Medicare Clinical Psychologist Provider

Douglas Alan Bergstrom, PHD is a medicare enrolled "Psychologist - Clinical" provider in Prescott, Arizona. He graduated from medical school in 1983 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 143 E Merritt St, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 445-3835.

Douglas Alan Bergstrom is licensed to practice in Arizona (license number 1142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063536688.

Contact Information

	Douglas Alan Bergstrom, PHD
	143 E Merritt St, Prescott, AZ 86301-2028
	(928) 445-3835
	(928) 445-7071

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Alan Bergstrom
Gender	Male
Speciality	Clinical Psychologist
Experience	42 Years
Location	143 E Merritt St, Prescott, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Alan Bergstrom graduated from medical school in 1983

NPI Data:

NPI Number: 1063536688
Provider Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9931134327
Enrollment ID: I20051005000081

Medical Identifiers

Medical identifiers for Douglas Alan Bergstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063536688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1142 (Arizona)	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. Douglas Alan Bergstrom allows following entities to bill medicare on his behalf.

Entity Name	Douglas A. Bergstrom, Ph.d., Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154501682 PECOS PAC ID: 2860581816 Enrollment ID: O20071129000057

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. Douglas Alan 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 Address	Practice Location Address
Douglas Alan Bergstrom, PHD 143 E Merritt St, Prescott, AZ 86301-2028 Ph: (928) 445-3835	Douglas Alan Bergstrom, PHD 143 E Merritt St, Prescott, AZ 86301-2028 Ph: (928) 445-3835

Reviews and Comments

Psychologist in Prescott, AZ

Dr. Daniel Barack Wasserman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 126 N Marina St, Suite 114, Prescott, AZ 86301 Phone: 928-778-6259
Anna Rachel Seno, LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Granite Street, Prescott, AZ 86303 Phone: 928-717-3417
Dr. Colin R Joseph, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 141 S Mccormick St, Suite 206-m, Prescott, AZ 86303 Phone: 928-499-8405 Fax: 928-443-1463
Vera Kurzkurt, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89 Bldg 151, Prescott, AZ 86313 Phone: 928-445-4860
Cynthia White, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Hwy 89, Prescott, AZ 86313 Phone: 928-445-4860 Fax: 928-776-6176
Dr. Sandra Sue Mcconnell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 146 S Granite St, Prescott, AZ 86303 Phone: 928-445-5400

Douglas Alan Bergstrom, PHD - Medicare Psychologist in Prescott, AZ