Stetson Lea Berg, LSAA is a
Case Manager/care Coordinator based in Albuquerque, New Mexico. Stetson Lea Berg is licensed to practice in New Mexico (license number ) and his current practice location is
2600 Marble Ave Ne, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 272-2479.
NPI number for Stetson Lea Berg is 1922401165 and his current mailing address is 2600 Marble Ave Ne, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922401165.
Healthcare Provider's Profile
| Full Name | Stetson Lea Berg |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2600 Marble Ave Ne, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922401165
- Provider Enumeration Date: 10/02/2014
- Last Update Date: 10/07/2014
Medical Identifiers
Medical identifiers for Stetson Lea Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922401165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0164591 (New Mexico) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (New Mexico) | 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. Stetson Lea Berg 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 |
|---|
Stetson Lea Berg, LSAA
2600 Marble Ave Ne,
Albuquerque, NM 87106-2058
Ph: (505) 272-2479 | Stetson Lea Berg, LSAA
2600 Marble Ave Ne,
Albuquerque, NM 87106-2058
Ph: (505) 272-2479 |
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