Dr Georgia Dare Bomgardner, PHD in Bethlehem, PA - Medicare Psychologist Provider

Dr Georgia Dare Bomgardner, PHD is a medicare enrolled "Psychologist" provider in Bethlehem, Pennsylvania. Her current practice location is 1 E Broad St Ste 510, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 865-4300.

Dr Georgia Dare Bomgardner is licensed to practice in Pennsylvania (license number PS019058) 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 1568071785.

Contact Information

	Dr Georgia Dare Bomgardner, PHD
	1 E Broad St Ste 510, Bethlehem, PA 18018-5964
	(610) 865-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Georgia Dare Bomgardner
Gender	Female
Speciality	Psychologist
Location	1 E Broad St Ste 510, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568071785
Provider Enumeration Date: 07/23/2020
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9638538655
Enrollment ID: I20230707003090

Medical Identifiers

Medical identifiers for Dr Georgia Dare Bomgardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568071785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS019058 (Pennsylvania)	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. Dr Georgia Dare Bomgardner allows following entities to bill medicare on her behalf.

Entity Name	The Center For Mindfulness And Cbt Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013267392 PECOS PAC ID: 9032492111 Enrollment ID: O20170215002401

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. Dr Georgia Dare Bomgardner 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
Dr Georgia Dare Bomgardner, PHD 793 E Washington Ave, Bethlehem, PA 18017-6043 Ph: (901) 230-2919	Dr Georgia Dare Bomgardner, PHD 1 E Broad St Ste 510, Bethlehem, PA 18018-5964 Ph: (610) 865-4300

Reviews and Comments

Psychologist in Bethlehem, PA

Ms. Ziona Brotleit, MCAT, LICENSED PSYCH Psychologist Medicare: Medicare Enrolled Practice Location: 3005 Brodhead Rd, Suite 104, Bethlehem, PA 18020 Phone: 610-866-4661
Dr. Peter J. Behrens, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 35 E Elizabeth Ave, Suite 30, Bethlehem, PA 18018 Phone: 610-865-7777
Dr. John A Abbruzzese Iii, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2638 West Blvd, Bethlehem, PA 18017 Phone: 610-954-8597
Margarett Molina Vargas, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1 E Broad St Ste 510, Bethlehem, PA 18018 Phone: 610-865-4300
Dr. David P Borsos, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2045 Westgate Dr, Suite 304, Bethlehem, PA 18017 Phone: 610-865-8177 Fax: 610-865-2764
Dr. David Walter Durka, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Dr D Durka 3201 Highfield Dr Suite H Bethlehem Pa 18020, Bethlehem, PA 18020 Phone: 610-866-4944 Fax: 610-866-4389
Dr. Wendy S Lawson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 264 E Broad St, Bethlehem, PA 18018 Phone: 610-866-9311

Dr Georgia Dare Bomgardner, PHD - Medicare Psychologist in Bethlehem, PA