Miranda Ann Bergman, LPCC, CADC in Erlanger, KY

Miranda Ann Bergman, LPCC, CADC is a medicare enrolled "Counselor - Professional" provider in Erlanger, Kentucky. Her current practice location is 3309 Dixie Hwy, Erlanger, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 609-3893.

Miranda Ann Bergman is licensed to practice in Kentucky (license number 161536) 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 1942627500.

Contact Information

	Miranda Ann Bergman, LPCC, CADC
	3309 Dixie Hwy, Erlanger, KY 41018-4047
	(859) 609-3893
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda Ann Bergman
Gender	Female
Speciality	Counselor - Professional
Location	3309 Dixie Hwy, Erlanger, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942627500
Provider Enumeration Date: 03/20/2014
Last Update Date: 11/29/2016

Medicare PECOS Information:

PECOS PAC ID: 0042741175
Enrollment ID: I20241001000703

Medical Identifiers

Medical identifiers for Miranda Ann Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942627500	NPI	-	NPPES
7100337850	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	161536 (Kentucky)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	170788 (Kentucky)	Secondary

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. Miranda Ann Bergman allows following entities to bill medicare on her behalf.

Entity Name	Affect Therapeutics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104402064 PECOS PAC ID: 4284071903 Enrollment ID: O20240521002212

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. Miranda Ann 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
Miranda Ann Bergman, LPCC, CADC 3149 Meadoway Ct, Independence, KY 41051-6717 Ph: (859) 609-3893	Miranda Ann Bergman, LPCC, CADC 3309 Dixie Hwy, Erlanger, KY 41018-4047 Ph: (859) 609-3893

Reviews and Comments

Counselor in Erlanger, KY

Mr. Anthony Ross Huffman, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Madison Pike, Erlanger, KY 41017 Phone: 859-491-4435
Ms. Maureen Ann Bensman, MED, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Graves Ave Ste 206, Erlanger, KY 41018 Phone: 859-750-7804 Fax: 859-813-4389
James Petry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Erlanger Rd, Erlanger, KY 41018 Phone: 859-341-5782 Fax: 859-341-5782
Sharon L Davis, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Erlanger Rd, Connor And Associates, Erlanger, KY 41018 Phone: 859-341-5782 Fax: 859-341-5783
Mrs. Shari Anne Franco-fisher, LPCCS Counselor Medicare: Medicare Enrolled Practice Location: 600 Rodeo Dr Fl 2, Erlanger, KY 41018 Phone: 859-282-2040 Fax: 859-282-0361
Cathy Sue Goulet, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 Erlanger Rd, Suite 204, Erlanger, KY 41018 Phone: 859-342-6444 Fax: 859-342-0999
Miss Kalliope Anna Cardullias, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Dolwick Dr, Erlanger, KY 41018 Phone: 859-340-8995

Miranda Ann Bergman, LPCC, CADC - Medicare Counselor in Erlanger, KY