Look up the most recent NPI and PECOS records

Barbara A Bergstrom

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3633

(414) 385-1922 (800) 326-2250

PECOS Enrollment

This provider is enrolled in PECOS as BARBARA BERGSTROM.

Based on the most recent information from CMS, provider Barbara A Bergstrom is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1093585549
Provider Type
Individual
Full Name
Bergstrom, Barbara A
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/5/2024
Last Updated
4/23/2024

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3633

(414) 385-1922

Unlisted Fax

Mailing Location

PO Box 735044, Chicago, IL 60673-5044

(800) 326-2250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 14867-033 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100265750	Description Medicaid	Issuer Unlisted Wisconsin

Barbara A Bergstrom

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Schmitt, Patrick Joseph