Helena Bergman, is a medicare enrolled "Social Worker - Clinical" provider in Paint Lick, Kentucky. Her current practice location is
11585 Paint Lick Spur, Paint Lick, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 925-4610.
Helena Bergman is licensed to practice in Kentucky (license number 259959) 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 1245938935.
Healthcare Provider's Profile
Full Name | Helena Bergman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11585 Paint Lick Spur, Paint Lick, Kentucky |
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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: 1245938935
- Provider Enumeration Date: 02/21/2023
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406378835
- Enrollment ID: I20250314002428
Medical Identifiers
Medical identifiers for Helena Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245938935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 259959 (Kentucky) | 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. Helena Bergman allows following entities to bill medicare on her behalf.
Entity Name | Bluegrass Counseling & Trauma Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366197147 PECOS PAC ID: 0042693137 Enrollment ID: O20220823001966 |
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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. Helena 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 |
Helena Bergman, 11585 Paint Lick Spur, Paint Lick, KY 40461-8370 Ph: (859) 925-4610 | Helena Bergman, 11585 Paint Lick Spur, Paint Lick, KY 40461-8370 Ph: (859) 925-4610 |
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