Kelly Marie Bergen, NP in Gastonia, NC - Medicare Nurse Practitioner

Kelly Marie Bergen, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gastonia, North Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Caromont Medical Group Inc and her current practice location is 2555 Court Dr, Suite 300, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 868-3256.

Kelly Marie Bergen is licensed to practice in North Carolina (license number 162782) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093183642.

Contact Information

	Kelly Marie Bergen, NP
	2555 Court Dr, Suite 300, Gastonia, NC 28054-2134
	(704) 868-3256
	(704) 868-5870

Map and Direction

Provider's Profile

Full Name	Kelly Marie Bergen
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2555 Court Dr, Gastonia, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Marie Bergen graduated from nursing school in 2015

NPI Data:

NPI Number: 1093183642
Provider Enumeration Date: 09/11/2015
Last Update Date: 09/29/2015

Medicare PECOS Information:

PECOS PAC ID: 1658675517
Enrollment ID: I20160212001693

Medical Identifiers

Medical identifiers for Kelly Marie Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093183642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	162782 (North Carolina)	Primary
363LG0600X	Nurse Practitioner - Gerontology	162782 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Caromont Medical Group Inc	3577476258	347

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. Kelly Marie Bergen allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

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. Kelly Marie Bergen 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
Kelly Marie Bergen, NP 2555 Court Dr, Suite 300, Gastonia, NC 28054-2134 Ph: (704) 868-3256	Kelly Marie Bergen, NP 2555 Court Dr, Suite 300, Gastonia, NC 28054-2134 Ph: (704) 868-3256

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Kelly Marie Bergen, NP - Medicare Nurse Practitioner in Gastonia, NC