Ms Marie Susan Bergomi, CNP in Cleveland, OH - Medicare Nurse Practitioner

Ms Marie Susan Bergomi, CNP is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Ohio. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Utah Adult Services and her current practice location is 2500 Metrohealth Dr, Mhmc - Otolaryngology, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 778-5790.

Ms Marie Susan Bergomi is licensed to practice in Ohio (license number COA.12705-NP) 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 1215213301.

Contact Information

	Ms Marie Susan Bergomi, CNP
	2500 Metrohealth Dr, Mhmc - Otolaryngology, Cleveland, OH 44109-1900
	(216) 778-5790
	(216) 778-2338

Map and Direction

Provider's Profile

Full Name	Ms Marie Susan Bergomi
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	2500 Metrohealth Dr, Cleveland, Ohio
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:

Ms Marie Susan Bergomi graduated from nursing school in 2011

NPI Data:

NPI Number: 1215213301
Provider Enumeration Date: 11/02/2011
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8921260662
Enrollment ID: I20190220001637

Medical Identifiers

Medical identifiers for Ms Marie Susan Bergomi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215213301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.12705-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435

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. Ms Marie Susan Bergomi allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Ms Marie Susan Bergomi 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
Ms Marie Susan Bergomi, CNP 2500 Metrohealth Dr, Mhmc - Otolaryngology, Cleveland, OH 44109-1900 Ph: (216) 778-5790	Ms Marie Susan Bergomi, CNP 2500 Metrohealth Dr, Mhmc - Otolaryngology, Cleveland, OH 44109-1900 Ph: (216) 778-5790

Reviews and Comments

Nurse Practitioner Nurses in Cleveland, OH

Kristin R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200
Ms. Dana Anne Rubis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, G58, Cleveland, OH 44195 Phone: 216-444-5086 Fax: 216-444-7360
Denise Louise Page, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2273
Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890

Ms Marie Susan Bergomi, CNP - Medicare Nurse Practitioner in Cleveland, OH