Anna Viktoria Bergman, is a medicare enrolled "Counselor - Mental Health" provider in Jericho, Vermont. Her current practice location is
14 Willow Ln, Jericho, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 858-9369.
Anna Viktoria Bergman is licensed to practice in Vermont (license number 068.0134606) 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 1255079679.
Healthcare Provider's Profile
Full Name | Anna Viktoria Bergman |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 14 Willow Ln, Jericho, 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: 1255079679
- Provider Enumeration Date: 05/25/2022
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557803764
- Enrollment ID: I20240603004073
Medical Identifiers
Medical identifiers for Anna Viktoria Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255079679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 068.0134606 (Vermont) | 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. Anna Viktoria Bergman allows following entities to bill medicare on her behalf.
Entity Name | Bergman Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679334908 PECOS PAC ID: 0648712851 Enrollment ID: O20240603003938 |
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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. Anna Viktoria Bergman 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 |
Anna Viktoria Bergman, 14 Willow Ln, Jericho, VT 05465-2068 Ph: (802) 858-9369 | Anna Viktoria Bergman, 14 Willow Ln, Jericho, VT 05465-2068 Ph: (802) 858-9369 |
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