Ms Mary Bergen, - Medicare Clinical Social Worker in Charleston, SC

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Ms Mary Bergen, is a medicare enrolled "Social Worker - Clinical" provider in Charleston, South Carolina. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Ms Mary Bergen is licensed to practice in South Carolina (license number 10787) 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 1942605985.

Contact Information

Ms Mary Bergen,
171 Ashley Ave,
Charleston, SC 29425-5000
(843) 792-1414
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Mary Bergen
GenderFemale
SpecialitySocial Worker - Clinical
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942605985
  • Provider Enumeration Date: 11/04/2014
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759600620
  • Enrollment ID: I20200910000639

Medical Identifiers

Medical identifiers for Ms Mary Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942605985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CO.09923872 (Colorado)Secondary
1041C0700XSocial Worker - Clinical 10787 (South Carolina)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. Ms Mary Bergen allows following entities to bill medicare on her behalf.
Entity NameUniversity Medical Associates of the Medical University of South Carol
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291

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. Ms Mary Bergen 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
Ms Mary Bergen,
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200		Ms Mary Bergen,
171 Ashley Ave,
Charleston, SC 29425-5000

Ph: (843) 792-1414

Reviews and Comments


Social Worker in Charleston, SC

Andrea Claire D'andrea, MSW LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4 Carriage Ln, Suite 203-b, Charleston, SC 29407
Phone: 843-810-6747    
Renea Brown Bligen, LISW-CP/S
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-577-5011    
Miss Raven Neal, LCSW
Clinical Social Worker
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Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-789-7311    
Daroniesha Brianna Breeze, SW
Clinical Social Worker
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Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-577-5011    
Catherine Quast Nelson, PHD LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3129 W Montague Ave, Charleston, SC 29418
Phone: 843-577-5011    
Mona Razzak Balooch,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1703 Sulgrave Rd, Charleston, SC 29414
Phone: 818-770-0088    
Riley Alexandra Nikolychik, LISW-CP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 67 President St, Charleston, SC 29425
Phone: 843-792-0224    

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.