Mr Mark Anthony Bergonia Ison, CRNP- PMH in Baltimore, MD

Mr Mark Anthony Bergonia Ison, CRNP- PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellness Legacy Llc and his current practice location is 1501 Sulgrave Ave Ste 200, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 708-5856.

Mr Mark Anthony Bergonia Ison is licensed to practice in Maryland (license number R181848) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881152783.

Contact Information

	Mr Mark Anthony Bergonia Ison, CRNP- PMH
	1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650
	(443) 708-5856
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Anthony Bergonia Ison
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1501 Sulgrave Ave Ste 200, Baltimore, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Mark Anthony Bergonia Ison graduated from nursing school in 2018

NPI Data:

NPI Number: 1881152783
Provider Enumeration Date: 03/09/2019
Last Update Date: 03/09/2019

Medicare PECOS Information:

PECOS PAC ID: 2961834361
Enrollment ID: I20191122000569

Medical Identifiers

Medical identifiers for Mr Mark Anthony Bergonia Ison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881152783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R181848 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellness Legacy Llc	1052743457	4

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. Mr Mark Anthony Bergonia Ison allows following entities to bill medicare on his behalf.

Entity Name	Wellness Legacy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134777576 PECOS PAC ID: 1052743457 Enrollment ID: O20191122000371

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. Mr Mark Anthony Bergonia Ison 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
Mr Mark Anthony Bergonia Ison, CRNP- PMH 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 Ph: () -	Mr Mark Anthony Bergonia Ison, CRNP- PMH 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 Ph: (443) 708-5856

Reviews and Comments

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Mr Mark Anthony Bergonia Ison, CRNP- PMH - Medicare Nurse Practitioner in Baltimore, MD