Matthew Bergren, in Fargo, ND - Medicare Speech-Language Pathologist Provider

Matthew Bergren, is a medicare enrolled "Speech-language Pathologist" provider in Fargo, North Dakota. His current practice location is 825 28th St S Ste B, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 356-7766.

Matthew Bergren is licensed to practice in North Dakota (license number 2106) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710626502.

Contact Information

	Matthew Bergren,
	825 28th St S Ste B, Fargo, ND 58103-2325
	(701) 356-7766
	(701) 356-7765

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Bergren
Gender	Male
Speciality	Speech-language Pathologist
Location	825 28th St S Ste B, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710626502
Provider Enumeration Date: 06/01/2022
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7214304286
Enrollment ID: I20221103001701

Medical Identifiers

Medical identifiers for Matthew Bergren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710626502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2106 (North Dakota)	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. Matthew Bergren allows following entities to bill medicare on his behalf.

Provider Name	Progressive Therapy Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699075945 PECOS PAC ID: 4688854607 Enrollment ID: O20110209000021

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. Matthew Bergren 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
Matthew Bergren, 825 28th St S Ste B, Fargo, ND 58103-2325 Ph: (701) 356-7766	Matthew Bergren, 825 28th St S Ste B, Fargo, ND 58103-2325 Ph: (701) 356-7766

Reviews and Comments

Speech-Language Pathologist in Fargo, ND

Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116
Sydney M Honek, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4152 30th Ave S, Fargo, ND 58104 Phone: 701-551-1750

Matthew Bergren, - Medicare Speech-Language Pathologist in Fargo, ND