Michael Thomas Bergquist, LPC in Grayson, GA - Medicare Counselor Provider

Michael Thomas Bergquist, LPC is a medicare enrolled "Counselor - Professional" provider in Grayson, Georgia. His current practice location is 1637 Athens Hwy, Grayson, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 344-8268.

Michael Thomas Bergquist is licensed to practice in Georgia (license number LPC008976) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396263588.

Contact Information

	Michael Thomas Bergquist, LPC
	1637 Athens Hwy, Grayson, GA 30017-1768
	(678) 344-8268
	(888) 627-6444

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Thomas Bergquist
Gender	Male
Speciality	Counselor - Professional
Location	1637 Athens Hwy, Grayson, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396263588
Provider Enumeration Date: 09/07/2017
Last Update Date: 09/07/2017

Medicare PECOS Information:

PECOS PAC ID: 0345771812
Enrollment ID: I20241008003047

Medical Identifiers

Medical identifiers for Michael Thomas Bergquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396263588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008976 (Georgia)	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. Michael Thomas Bergquist allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Michael Thomas Bergquist 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
Michael Thomas Bergquist, LPC 1637 Athens Hwy, Grayson, GA 30017-1768 Ph: (678) 344-8268	Michael Thomas Bergquist, LPC 1637 Athens Hwy, Grayson, GA 30017-1768 Ph: (678) 344-8268

Reviews and Comments

Counselor in Grayson, GA

Courtney Dombrowski, MA, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 1637 Athens Hwy, Grayson, GA 30017 Phone: 678-508-5682
Bria Leigh Ellerbe, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1344 Swallows Walk, Grayson, GA 30017 Phone: 770-533-3069
Ms. Cassondra Jackson, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1076 Hawthorn Ln, Grayson, GA 30017 Phone: 678-492-9332
Sherice Nicole Shine-cross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 Trillium View Dr, Grayson, GA 30017 Phone: 843-819-4111
Delia Harriet Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1637 Athens Hwy, Grayson, GA 30017 Phone: 678-344-8268 Fax: 678-922-7762
Franzetta V Bester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Grayson Pkwy, Grayson, GA 30017 Phone: 770-309-7804 Fax: 404-393-9644

Michael Thomas Bergquist, LPC - Medicare Counselor in Grayson, GA