Mrs Licia Lane Berry-berard, LICSW in North Thetford, VT - Medicare Clinical Social Worker Provider

Mrs Licia Lane Berry-berard, LICSW is a medicare enrolled "Social Worker - Clinical" provider in North Thetford, Vermont. She graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 312 Clay Rd, North Thetford, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 698-2246.

Mrs Licia Lane Berry-berard is licensed to practice in Vermont (license number 089134187) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225505381.

Contact Information

	Mrs Licia Lane Berry-berard, LICSW
	312 Clay Rd, North Thetford, VT 05054-0505
	(802) 698-2246
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Licia Lane Berry-berard
Gender	Female
Speciality	Clinical Social Worker
Experience	30 Years
Location	312 Clay Rd, North Thetford, Vermont
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Licia Lane Berry-berard graduated from medical school in 1996

NPI Data:

NPI Number: 1225505381
Provider Enumeration Date: 10/26/2018
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4183074990
Enrollment ID: I20231220000482

Medical Identifiers

Medical identifiers for Mrs Licia Lane Berry-berard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225505381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089134187 (Vermont)	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. Mrs Licia Lane Berry-berard allows following entities to bill medicare on her behalf.

Entity Name	Licia Berry-berard Msw Licsw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124891809 PECOS PAC ID: 1759733231 Enrollment ID: O20240119003189

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. Mrs Licia Lane Berry-berard 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
Mrs Licia Lane Berry-berard, LICSW Po Box 44, North Thetford, VT 05054 Ph: (802) 356-1580	Mrs Licia Lane Berry-berard, LICSW 312 Clay Rd, North Thetford, VT 05054-0505 Ph: (802) 698-2246

Mrs Licia Lane Berry-berard, LICSW - Medicare Clinical Social Worker in North Thetford, VT