Carly Elizabeth Bereznay, BCBA is a medicare enrolled "Behavior Analyst" provider in Severn, Maryland. Her current practice location is
1211 Bradley Rd, Severn, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 346-5394.
Carly Elizabeth Bereznay is licensed to practice in * (Not Available) (license number ) 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 1669958161.
Healthcare Provider's Profile
Full Name | Carly Elizabeth Bereznay |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1211 Bradley Rd, Severn, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669958161
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 07/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789124066
- Enrollment ID: I20240912004455
Medical Identifiers
Medical identifiers for Carly Elizabeth Bereznay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669958161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 01833 (Maryland) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | 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. Carly Elizabeth Bereznay allows following entities to bill medicare on her behalf.
Provider Name | Comptroller Of Maryland Central Payroll Bureau |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1871609545 PECOS PAC ID: 7416859327 Enrollment ID: O20081008000739 |
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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. Carly Elizabeth Bereznay 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 |
Carly Elizabeth Bereznay, BCBA Po Box 164, Severn, MD 21144-0164 Ph: (301) 346-5394 | Carly Elizabeth Bereznay, BCBA 1211 Bradley Rd, Severn, MD 21144-2786 Ph: (301) 346-5394 |
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