Victoria Bernard, is a medicare enrolled "Psychologist" provider in Chicago, Illinois. Her current practice location is
150 E Huron St Ste 1100, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 926-3627.
Victoria Bernard is licensed to practice in Illinois (license number 071011001) 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 1790263192.
Healthcare Provider's Profile
| Full Name | Victoria Bernard |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 150 E Huron St Ste 1100, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790263192
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385058189
- Enrollment ID: I20210205000285
Medical Identifiers
Medical identifiers for Victoria Bernard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790263192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 071011001 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY.0005436 (Colorado) | 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. Victoria Bernard allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
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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. Victoria Bernard 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 |
|---|
Victoria Bernard,
1870 W 122nd Ave,
Westminster, CO 80234-2024
Ph: (303) 853-3500 | Victoria Bernard,
150 E Huron St Ste 1100,
Chicago, IL 60611-2948
Ph: (312) 926-3627 |
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