Elizabeth Margaret Bergman, DPT in St Augustine, FL - Medicare Physical Therapist Provider

Elizabeth Margaret Bergman, DPT is a medicare enrolled "Physical Therapist" provider in St Augustine, Florida. Her current practice location is 105 Mariner Health Way Ste 213, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 217-4259.

Elizabeth Margaret Bergman is licensed to practice in Florida (license number PT36674) 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 1255529079.

Contact Information

	Elizabeth Margaret Bergman, DPT
	105 Mariner Health Way Ste 213, St Augustine, FL 32086-3251
	(904) 217-4259
	(904) 217-4251

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Margaret Bergman
Gender	Female
Speciality	Physical Therapist
Location	105 Mariner Health Way Ste 213, St Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255529079
Provider Enumeration Date: 10/05/2007
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1355587155
Enrollment ID: I20130424000417

Medical Identifiers

Medical identifiers for Elizabeth Margaret Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255529079	NPI	-	NPPES
23557	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23557 (Florida)	Secondary
225100000X	Physical Therapist	PTP-PT-LIC-9465 (Montana)	Secondary
225100000X	Physical Therapist	PT36674 (Florida)	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. Elizabeth Margaret Bergman allows following entities to bill medicare on her behalf.

Provider Name	Citypt Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891452033 PECOS PAC ID: 6507243201 Enrollment ID: O20220518002824

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. Elizabeth Margaret 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
Elizabeth Margaret Bergman, DPT 105 Mariner Health Way Ste 213, St Augustine, FL 32086-3251 Ph: (904) 217-4259	Elizabeth Margaret Bergman, DPT 105 Mariner Health Way Ste 213, St Augustine, FL 32086-3251 Ph: (904) 217-4259

Reviews and Comments

Physical Therapist in St Augustine, FL

Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412

Elizabeth Margaret Bergman, DPT - Medicare Physical Therapist in St Augustine, FL