Christine R Bergeron, LCSW is a medicare enrolled "Counselor" provider in Portland, Maine. Her current practice location is
53 Baxter Blvd Ste 3, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(603) 689-6562.
Christine R Bergeron is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982238580.
Healthcare Provider's Profile
Full Name | Christine R Bergeron |
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Gender | Female |
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Speciality | Counselor |
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Location | 53 Baxter Blvd Ste 3, Portland, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982238580
- Provider Enumeration Date: 02/24/2020
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678916541
- Enrollment ID: I20240207002865
Medical Identifiers
Medical identifiers for Christine R Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982238580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC23162 (Maine) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | 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. Christine R Bergeron allows following entities to bill medicare on her behalf.
Entity Name | The Counseling Center Of Nashua Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20201209003064 |
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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. Christine R Bergeron 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 |
Christine R Bergeron, LCSW Po Box 568, Kennebunkport, ME 04046-0568 Ph: (603) 689-6562 | Christine R Bergeron, LCSW 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 Ph: (603) 689-6562 |
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