Mrs Licia Lane Berry-berard, LICSW is a medicare enrolled "Social Worker - Clinical" provider in North Thetford, Vermont. Her current practice location is
312 Clay Rd, North Thetford, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 698-2246.
Mrs Licia Lane Berry-berard is licensed to practice in Vermont (license number 089134187) 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 1225505381.
Healthcare Provider's Profile
Full Name | Mrs Licia Lane Berry-berard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 312 Clay Rd, North Thetford, Vermont |
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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: 1225505381
- Provider Enumeration Date: 10/26/2018
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183074990
- Enrollment ID: I20231220000482
Medical Identifiers
Medical identifiers for Mrs Licia Lane Berry-berard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225505381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 089134187 (Vermont) | 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. Mrs Licia Lane Berry-berard 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 |
Mrs Licia Lane Berry-berard, LICSW Po Box 44, North Thetford, VT 05054 Ph: (802) 356-1580 | Mrs Licia Lane Berry-berard, LICSW 312 Clay Rd, North Thetford, VT 05054-0505 Ph: (802) 698-2246 |
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