Lindsay Ray Bergman, LISW-S, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Collins, Mississippi. Her current practice location is
190 Wilson Rd, Collins, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 408-9616.
Lindsay Ray Bergman is licensed to practice in Ohio (license number I1450832SUPV) 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 1710197173.
Healthcare Provider's Profile
Full Name | Lindsay Ray Bergman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 190 Wilson Rd, Collins, Mississippi |
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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: 1710197173
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496075376
- Enrollment ID: I20150515001254
Medical Identifiers
Medical identifiers for Lindsay Ray Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710197173 | NPI | - | NPPES |
0173042 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | C6874 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | I1450832SUPV (Ohio) | Primary |
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. Lindsay Ray 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 |
Lindsay Ray Bergman, LISW-S, LCSW 7239 Fernbank Ave, Cincinnati, OH 45233-1011 Ph: (601) 408-9616 | Lindsay Ray Bergman, LISW-S, LCSW 190 Wilson Rd, Collins, MS 39428-6030 Ph: (601) 408-9616 |
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