Elizabeth Bergman, is a
Counselor - Professional based in Genoa, Ohio. Elizabeth Bergman is licensed to practice in Ohio (license number E.2001932) and her current practice location is
635 Main St, Genoa, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 461-1983.
NPI number for Elizabeth Bergman is 1659879849 and her current mailing address is 217 E 11th St, Genoa, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659879849.
Healthcare Provider's Profile
Full Name | Elizabeth Bergman |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 635 Main St, Genoa, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659879849
- Provider Enumeration Date: 01/23/2018
- Last Update Date: 08/03/2021
Medical Identifiers
Medical identifiers for Elizabeth Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659879849 | NPI | - | NPPES |
0266112 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C.1800896 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.2001932 (Ohio) | 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. Elizabeth 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 |
Elizabeth Bergman, 217 E 11th St, Genoa, OH 43430-1411 Ph: (419) 461-1983 | Elizabeth Bergman, 635 Main St, Genoa, OH 43430-1635 Ph: (419) 461-1983 |
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