Debra Bergman, BSW is a
Social Worker - Clinical based in Madison, Wisconsin. Debra Bergman is licensed to practice in Wisconsin (license number 2616) and her current practice location is
625 W Washington Ave, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 280-2700.
NPI number for Debra Bergman is 1023225174 and her current mailing address is 625 W Washington Ave, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023225174.
Healthcare Provider's Profile
Full Name | Debra Bergman |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 625 W Washington Ave, Madison, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023225174
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 09/11/2007
Medical Identifiers
Medical identifiers for Debra Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023225174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1980 (Wisconsin) | Secondary |
164W00000X | Licensed Practical Nurse | 24505 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 2616 (Wisconsin) | 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. Debra Bergman 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 |
Debra Bergman, BSW 625 W Washington Ave, Madison, WI 53703-2637 Ph: () - | Debra Bergman, BSW 625 W Washington Ave, Madison, WI 53703-2637 Ph: (608) 280-2700 |
Reviews and Comments