Mrs Mary Bergens Dodson, LMFT is a
Marriage & Family Therapist based in Biloxi, Mississippi. Mrs Mary Bergens Dodson is licensed to practice in Mississippi (license number T0510) and her current practice location is
2620 Executive Pl, Biloxi, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 385-7744.
NPI number for Mrs Mary Bergens Dodson is 1114492956 and her current mailing address is 16109 S April Dr, Gulfport, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114492956.
Healthcare Provider's Profile
| Full Name | Mrs Mary Bergens Dodson |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 2620 Executive Pl, Biloxi, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114492956
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 10/08/2018
Medical Identifiers
Medical identifiers for Mrs Mary Bergens Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114492956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | T0510 (Mississippi) | Secondary |
| 171M00000X | Case Manager/care Coordinator | T0510 (Mississippi) | Secondary |
| 251B00000X | Case Management | T0510 (Mississippi) | Secondary |
| 106H00000X | Marriage & Family Therapist | T0510 (Mississippi) | 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. Mrs Mary Bergens Dodson 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 |
|---|
Mrs Mary Bergens Dodson, LMFT
16109 S April Dr,
Gulfport, MS 39503-4181
Ph: (985) 774-4076 | Mrs Mary Bergens Dodson, LMFT
2620 Executive Pl,
Biloxi, MS 39531-3717
Ph: (228) 385-7744 |
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