Mi Ja Kang Bergerson, LICSW - Medicare Clinical Social Worker in Mound, MN

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Mi Ja Kang Bergerson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mound, Minnesota. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lyn-lake Psychotherapy And Wellness Ltd and her current practice location is 2385 Chateau Ln, Mound, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 743-7893.

Mi Ja Kang Bergerson is licensed to practice in Minnesota (license number 28770) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659086601.

Contact Information

Mi Ja Kang Bergerson, LICSW
2385 Chateau Ln,
Mound, MN 55364-1750
(612) 743-7893
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMi Ja Kang Bergerson
GenderFemale
SpecialityClinical Social Worker
Experience8 Years
Location2385 Chateau Ln, Mound, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mi Ja Kang Bergerson graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1659086601
  • Provider Enumeration Date: 01/13/2023
  • Last Update Date: 01/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335503770
  • Enrollment ID: I20230918003667

Medical Identifiers

Medical identifiers for Mi Ja Kang Bergerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659086601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 28770 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lyn-lake Psychotherapy And Wellness Ltd963858129151

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. Mi Ja Kang Bergerson allows following entities to bill medicare on her behalf.
Entity NameLyn-lake Psychotherapy And Wellness Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609355163
PECOS PAC ID: 9638581291
Enrollment ID: O20201224000071

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. Mi Ja Kang Bergerson 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 AddressPractice Location Address
Mi Ja Kang Bergerson, LICSW
2385 Chateau Ln,
Mound, MN 55364-1750

Ph: (612) 743-7893		Mi Ja Kang Bergerson, LICSW
2385 Chateau Ln,
Mound, MN 55364-1750

Ph: (612) 743-7893

Reviews and Comments


Social Worker in Mound, MN

Mr. Gary Lawrence Steffens, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5021 Wilshire Blvd, Mound, MN 55364
Phone: 952-583-8901    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.