Sandra Elysa Berna, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in North Hero, Vermont. Her current practice location is
1388 Blockhouse Pt Rd, North Hero, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 527-7494.
Sandra Elysa Berna is licensed to practice in Vermont (license number 068-0000508) 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 1790714939.
Healthcare Provider's Profile
Full Name | Sandra Elysa Berna |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1388 Blockhouse Pt Rd, North Hero, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790714939
- Provider Enumeration Date: 07/01/2006
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981137122
- Enrollment ID: I20241028001199
Medical Identifiers
Medical identifiers for Sandra Elysa Berna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790714939 | NPI | - | NPPES |
1009871 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 334 (New Hampshire) | Secondary |
101YM0800X | Counselor - Mental Health | 068-0000508 (Vermont) | 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. Sandra Elysa Berna allows following entities to bill medicare on her behalf.
Entity Name | Sandra Berna Lcmhc Emdr Integrative Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124746698 PECOS PAC ID: 3072046218 Enrollment ID: O20241028001101 |
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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. Sandra Elysa Berna 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 |
Sandra Elysa Berna, LCMHC 1388 Blockhouse Pt Rd, North Hero, VT 05474-9666 Ph: (802) 527-7494 | Sandra Elysa Berna, LCMHC 1388 Blockhouse Pt Rd, North Hero, VT 05474-9666 Ph: (802) 527-7494 |
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