Lisa Bergsma, DO - Medicare Emergency Medicine in Rochester, NY

  1. Home
  2. Emergency Medicine
  3. NY
  4. Rochester
Lisa Bergsma, DO is a medicare enrolled "Emergency Medicine" physician in Rochester, New York. Her current practice location is 601 Elmwood Ave, Box 655, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 463-2940.

Lisa Bergsma is licensed to practice in Michigan (license number 5101023718) 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 1396004842.

Contact Information

Lisa Bergsma, DO
601 Elmwood Ave, Box 655,
Rochester, NY 14642
(585) 463-2940
Not Available

Map and Direction




Physician's Profile

Full NameLisa Bergsma
GenderFemale
SpecialityEmergency Medicine
Location601 Elmwood Ave, Rochester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396004842
  • Provider Enumeration Date: 05/03/2012
  • Last Update Date: 08/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1355659038
  • Enrollment ID: I20180619002864

Medical Identifiers

Medical identifiers for Lisa Bergsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396004842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101023718 (Michigan)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. Lisa Bergsma allows following entities to bill medicare on her behalf.
Entity NameSparrow Ionia Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700820065
PECOS PAC ID: 0042118887
Enrollment ID: O20031230000664
Entity NameEcs Western Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001
Entity NameVituity - Michigan Em Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144892332
PECOS PAC ID: 8022414010
Enrollment ID: O20210830002859

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. Lisa Bergsma 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 AddressPractice Location Address
Lisa Bergsma, DO
4100 Embassy Dr Se Ste 400,
Grand Rapids, MI 49546-2416

Ph: () -		Lisa Bergsma, DO
601 Elmwood Ave, Box 655,
Rochester, NY 14642

Ph: (585) 463-2940

Reviews and Comments


Emergency Medicine Doctors in Rochester, NY

Andrew Rotando, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-3469    
Madeline Schwid,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Rochester, NY 14642
Phone: 585-275-4551    
Alexander Vazzano, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-4638    
Maria Dominguez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Portland Ave, Emergency, Rochester, NY 14621
Phone: 585-922-4000    
Marek Wincenty Falkowski,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 601 Elmwood Ave # 655, Rochester, NY 14642
Phone: 585-463-2940    
Dr. Ryan Bodkin,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 601 Elmwood Ave, Box 655, Rochester, NY 14642
Phone: 585-275-9555    
Valerie Lou, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Rochester, NY 14642
Phone: 585-275-9555    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.