Michele Bergamotto, is a medicare enrolled "Nurse Practitioner - Adult Health" in Caldwell, New Jersey. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Medical Group Pc and her current practice location is
25 Gould Pl, Caldwell, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 715-9939.
Michele Bergamotto is licensed to practice in New Jersey (license number 26NJ00689600) 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 1598200545.
Provider's Profile
| Full Name | Michele Bergamotto |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 25 Gould Pl, Caldwell, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michele Bergamotto graduated from nursing school in 2016
NPI Data:
- NPI Number: 1598200545
- Provider Enumeration Date: 12/29/2016
- Last Update Date: 12/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648557652
- Enrollment ID: I20170501000068
Medical Identifiers
Medical identifiers for Michele Bergamotto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598200545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00689600 (New Jersey) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00689600 (New Jersey) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Josephs Medical Group Pc | 8628470325 | 173 |
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. Michele Bergamotto allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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| Entity Name | St Josephs Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612 |
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| Entity Name | St Josephs Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520 |
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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. Michele Bergamotto 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 |
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Michele Bergamotto,
25 Gould Pl,
Caldwell, NJ 07006-5609
Ph: (973) 715-9939 | Michele Bergamotto,
25 Gould Pl,
Caldwell, NJ 07006-5609
Ph: (973) 715-9939 |
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