- Medicare Mental Health Clinic in Thetford, VT

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is a medicare enrolled mental health clinic (Community/behavioral Health) in Thetford, Vermont. The current practice location for is 321 Route 113, Thetford, Vermont. For appointments, you can reach them via phone at (802) 565-0424. The mailing address for is Po Box 44, North Thetford, Vermont and phone number is (802) 698-2246.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124891809. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 565-0424.

Contact Information

321 Route 113
Thetford
VT 05054
(802) 565-0424
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityCommunity/Behavioral Health
Location321 Route 113, Thetford, Vermont
Authorized Official Name and PositionLicia Lane Berry-berard (OWNER)
Authorized Official Contact8026982246
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 44
North Thetford
VT 05054-0044

Ph: (802) 698-2246
321 Route 113
Thetford
VT 05054

Ph: (802) 565-0424

NPI Details:

NPI Number1124891809
Provider Enumeration Date11/03/2023
Last Update Date01/02/2024
Certification Date12/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1759733231
Medicare Enrollment IDO20240119003189

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124891809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary
261Q00000XClinic/center (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLicia Lane Berry-berard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225505381
PECOS PAC ID: 4183074990
Enrollment ID: I20231220000482

Reviews and Comments

Community/Behavioral Health in Thetford, VT


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.