Amanda Lissner Bergquist, in Holyoke, MA - Medicare Counselor Provider

Amanda Lissner Bergquist, is a medicare enrolled "Counselor - Mental Health" provider in Holyoke, Massachusetts. Her current practice location is 303 Beech St, Holyoke, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 540-1155.

Amanda Lissner Bergquist is licensed to practice in Massachusetts (license number 5000774) 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 1164074241.

Contact Information

	Amanda Lissner Bergquist,
	303 Beech St, Holyoke, MA 01040-3968
	(413) 540-1155
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Lissner Bergquist
Gender	Female
Speciality	Counselor - Mental Health
Location	303 Beech St, Holyoke, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164074241
Provider Enumeration Date: 07/10/2019
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3577900315
Enrollment ID: I20240328000991

Medical Identifiers

Medical identifiers for Amanda Lissner Bergquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164074241	NPI	-	NPPES
1851444616	Other	MA	RIVER VALLEY COUNSELING CENTER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	5000774 (Massachusetts)	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. Amanda Lissner Bergquist allows following entities to bill medicare on her behalf.

Entity Name	River Valley Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851444616 PECOS PAC ID: 4981694999 Enrollment ID: O20040513000132

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. Amanda Lissner Bergquist 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
Amanda Lissner Bergquist, 511 Main St, Hampden, MA 01036-9640 Ph: () -	Amanda Lissner Bergquist, 303 Beech St, Holyoke, MA 01040-3968 Ph: (413) 540-1155

Reviews and Comments

Counselor in Holyoke, MA

Iris Rosario, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 High St, Holyoke, MA 01040 Phone: 413-322-7380
David Andre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 476 Appleton St, Holyoke, MA 01040 Phone: 413-315-3194
Yixa Zayas Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Commercial St, Holyoke, MA 01040 Phone: 413-846-0445
Denise Sanchez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1233 Main St, Holyoke, MA 01040 Phone: 413-493-2736
Jacqueline Nieves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Commercial St, Holyoke, MA 01040 Phone: 413-846-0445
Michael Atanian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 Beech St, Holyoke, MA 01040 Phone: 413-540-1155
Freddy Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Maple St, Holyoke, MA 01040 Phone: 413-322-7380

Amanda Lissner Bergquist, - Medicare Counselor in Holyoke, MA