Ms Angelique Marie Berglund, CDP, LMHC in Port Angeles, WA - Medicare Marriage & Family Therapist Provider

Ms Angelique Marie Berglund, CDP, LMHC is a medicare enrolled "Marriage & Family Therapist" provider in Port Angeles, Washington. Her current practice location is 118 E 8th St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 457-0431.

Ms Angelique Marie Berglund is licensed to practice in Washington (license number LF60896608) 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 1215374301.

Contact Information

	Ms Angelique Marie Berglund, CDP, LMHC
	118 E 8th St, Port Angeles, WA 98362-6129
	(360) 457-0431
	(360) 457-0493

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Angelique Marie Berglund
Gender	Female
Speciality	Marriage & Family Therapist
Location	118 E 8th St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215374301
Provider Enumeration Date: 05/29/2013
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7315380524
Enrollment ID: I20240205002657

Medical Identifiers

Medical identifiers for Ms Angelique Marie Berglund such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215374301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP00006060 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LH60803278 (Washington)	Secondary
106H00000X	Marriage & Family Therapist	LF60896608 (Washington)	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. Ms Angelique Marie Berglund allows following entities to bill medicare on her behalf.

Entity Name	Peninsula Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760519060 PECOS PAC ID: 7416845870 Enrollment ID: O20040503001304

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. Ms Angelique Marie Berglund 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
Ms Angelique Marie Berglund, CDP, LMHC 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431	Ms Angelique Marie Berglund, CDP, LMHC 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431

Reviews and Comments

Marriage & Family Therapist in Port Angeles, WA

Dr. Margaret Ruth Jamison, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2517 S Cherry St, Port Angeles, WA 98362 Phone: 360-457-3330 Fax: 360-457-3934
Myles Culver Hustad, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Autumn Chandra Piontek-walsh, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 113 S Eunice St, Port Angeles, WA 98362 Phone: 360-775-1071
Dr. Melinda R. Gelder, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 104 N Laurel St Ste 107, Port Angeles, WA 98362 Phone: 360-582-6454
Mark J Gaskill, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431
Ms. Melody Erdahl Williams, L,.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 819 Georgiana St, Port Angeles, WA 98362 Phone: 360-452-3728 Fax: 360-452-3730
Robert Anthony Welch, PH.D. Couples Therapy Medicare: Medicare Enrolled Practice Location: 3080 Lower Elwha Rd, Port Angeles, WA 98363 Phone: 360-452-8471 Fax: 360-457-8429

Ms Angelique Marie Berglund, CDP, LMHC - Medicare Couples Therapy in Port Angeles, WA