Andrea C Bergman, OTR/L in Ozark, AL - Medicare Occupational Therapist Provider

Andrea C Bergman, OTR/L is a medicare enrolled "Occupational Therapist" provider in Ozark, Alabama. Her current practice location is 193 Sam Lisenby Rd, Ozark, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 445-6336.

Andrea C Bergman is licensed to practice in Alabama (license number 2624) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578730768.

Contact Information

	Andrea C Bergman, OTR/L
	193 Sam Lisenby Rd, Ozark, AL 36360-3048
	(334) 445-6336
	(334) 445-6363

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea C Bergman
Gender	Female
Speciality	Occupational Therapist
Location	193 Sam Lisenby Rd, Ozark, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578730768
Provider Enumeration Date: 05/15/2008
Last Update Date: 04/27/2009

Medicare PECOS Information:

PECOS PAC ID: 8527400167
Enrollment ID: I20240528001896

Medical Identifiers

Medical identifiers for Andrea C Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578730768	NPI	-	NPPES
102420	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2624 (Alabama)	Primary

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. Andrea C Bergman allows following entities to bill medicare on her behalf.

Provider Name	Physioworks Silverdale Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952986184 PECOS PAC ID: 3971908484 Enrollment ID: O20210823000224

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. Andrea C Bergman 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
Andrea C Bergman, OTR/L 193 Sam Lisenby Rd, Ozark, AL 36360-3048 Ph: (334) 445-6336	Andrea C Bergman, OTR/L 193 Sam Lisenby Rd, Ozark, AL 36360-3048 Ph: (334) 445-6336

Reviews and Comments

Occupational Therapist in Ozark, AL

Morgan Lynn Walker, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336
Tera Andrew, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336 Fax: 334-445-6363
Miss Brieana L Dawkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 343 James St, Ozark, AL 36360 Phone: 334-740-1756
Kimberly Dehnert, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Union St, Ozark, AL 36360 Phone: 334-443-1043
Rebecka Smith, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336
Brooke Quinlivan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336 Fax: 334-445-6363
Mary Kathleen Mccluney, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336

Andrea C Bergman, OTR/L - Medicare Occupational Therapist in Ozark, AL