Samantha R Bergman, NP-C - Nurse Practitioner in Fort Wayne, IN

Samantha R Bergman, NP-C is a Nurse Practitioner - Family based in Fort Wayne, Indiana. Samantha R Bergman is licensed to practice in Indiana (license number 71006896A) and her current practice location is 6326 Constitution Dr, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 414-1855.

NPI number for Samantha R Bergman is 1710426176 and her current mailing address is 6326 Constitution Dr, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710426176.

Contact Information

Samantha R Bergman, NP-C
6326 Constitution Dr,
Fort Wayne, IN 46804-1518
(260) 414-1855
Not Available

Map and Direction




Provider's Profile

Full NameSamantha R Bergman
GenderFemale
SpecialityNurse Practitioner - Family
Location6326 Constitution Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710426176
  • Provider Enumeration Date: 02/17/2017
  • Last Update Date: 02/17/2017

Medical Identifiers

Medical identifiers for Samantha R Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710426176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71006896A (Indiana)Primary
363LF0000XNurse Practitioner - Family 71006896B (Indiana)Secondary

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. Samantha R Bergman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha R Bergman, NP-C
6326 Constitution Dr,
Fort Wayne, IN 46804-1518

Ph: (260) 414-1855
Samantha R Bergman, NP-C
6326 Constitution Dr,
Fort Wayne, IN 46804-1518

Ph: (260) 414-1855

Reviews and Comments


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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).

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