Tara Bergeron, LMSW in Willimantic, CT - Medicare Social Worker Provider

Tara Bergeron, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. Her current practice location is 40 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 450-7471.

Tara Bergeron is licensed to practice in Connecticut (license number 13161) 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 1548870074.

Contact Information

	Tara Bergeron, LMSW
	40 Mansfield Ave, Willimantic, CT 06226-2018
	(860) 450-7471
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Bergeron
Gender	Female
Speciality	Social Worker - Clinical
Location	40 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548870074
Provider Enumeration Date: 08/10/2020
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8123480845
Enrollment ID: I20230811003212

Medical Identifiers

Medical identifiers for Tara Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548870074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4692 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	13161 (Connecticut)	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. Tara Bergeron allows following entities to bill medicare on her behalf.

Entity Name	Generations Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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. Tara 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
Tara Bergeron, LMSW 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471	Tara Bergeron, LMSW 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471

Reviews and Comments

Social Worker in Willimantic, CT

Ariel Cussen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-465-2650
Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884
Virginia Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-0585 Fax: 860-450-0763
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152

Tara Bergeron, LMSW - Medicare Clinical Social Worker in Willimantic, CT