Lisa Diane Bergkoetter, MSW is a
Social Worker based in Hartland, Michigan. Lisa Diane Bergkoetter is licensed to practice in Michigan (license number 6851114769) and her current practice location is
10635 Dunham Rd, Hartland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 310-4236.
NPI number for Lisa Diane Bergkoetter is 1407545676 and her current mailing address is 10635 Dunham Rd, Hartland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407545676.
Healthcare Provider's Profile
Full Name | Lisa Diane Bergkoetter |
---|
Gender | Female |
---|
Speciality | Social Worker |
---|
Location | 10635 Dunham Rd, Hartland, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407545676
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/03/2023
Medical Identifiers
Medical identifiers for Lisa Diane Bergkoetter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407545676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6851114769 (Michigan) | Secondary |
1041S0200X | Social Worker - School | 6851114769 (Michigan) | Secondary |
104100000X | Social Worker | 6851114769 (Michigan) | 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. Lisa Diane Bergkoetter 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 |
Lisa Diane Bergkoetter, MSW 10635 Dunham Rd, Hartland, MI 48353-1017 Ph: (248) 310-4236 | Lisa Diane Bergkoetter, MSW 10635 Dunham Rd, Hartland, MI 48353-1017 Ph: (248) 310-4236 |
Reviews and Comments