Bonnie Berg, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Sauk Rapids, Minnesota. Her current practice location is
1424 2nd St N, Sauk Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 313-8080.
Bonnie Berg is licensed to practice in Minnesota (license number 35176) 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 1407202559.
Healthcare Provider's Profile
Full Name | Bonnie Berg |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1424 2nd St N, Sauk Rapids, Minnesota |
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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: 1407202559
- Provider Enumeration Date: 05/08/2016
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537547666
- Enrollment ID: I20220602000635
Medical Identifiers
Medical identifiers for Bonnie Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407202559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 35176 (Minnesota) | 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. Bonnie Berg allows following entities to bill medicare on her behalf.
Entity Name | Lifeways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568558955 PECOS PAC ID: 4183696214 Enrollment ID: O20040810000531 |
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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. Bonnie Berg 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 |
Bonnie Berg, LICSW 1370 Mendota Heights Rd, Mendota Heights, MN 55120-1281 Ph: (513) 138-0806 | Bonnie Berg, LICSW 1424 2nd St N, Sauk Rapids, MN 56379-2533 Ph: (651) 313-8080 |
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