Ms Rebecca T Bergum, LPC, CSAC in Charlottesville, VA

Ms Rebecca T Bergum, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Charlottesville, Virginia. Her current practice location is 500 Old Lynchburg Rd, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 970-2178.

Ms Rebecca T Bergum is licensed to practice in Virginia (license number 0701002384) 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 1356411169.

Contact Information

	Ms Rebecca T Bergum, LPC, CSAC
	500 Old Lynchburg Rd, Charlottesville, VA 22903-6500
	(434) 970-2178
	(434) 970-2170

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Rebecca T Bergum
Gender	Female
Speciality	Counselor - Professional
Location	500 Old Lynchburg Rd, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356411169
Provider Enumeration Date: 11/09/2006
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9436595667
Enrollment ID: I20240311002816

Medical Identifiers

Medical identifiers for Ms Rebecca T Bergum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356411169	NPI	-	NPPES
11525477	Other	VA	CAQH
282972	Other	VA	ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701002384 (Virginia)	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 Rebecca T Bergum allows following entities to bill medicare on her behalf.

Entity Name	Region Ten Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942270699 PECOS PAC ID: 3971401308 Enrollment ID: O20031223000256

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 Rebecca T Bergum 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
Ms Rebecca T Bergum, LPC, CSAC 11 Shortwood Cir, Palmyra, VA 22963-2747 Ph: (434) 970-2178	Ms Rebecca T Bergum, LPC, CSAC 500 Old Lynchburg Rd, Charlottesville, VA 22903-6500 Ph: (434) 970-2178

Reviews and Comments

Counselor in Charlottesville, VA

Hannah B Trible, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Park St, Charlottesville, VA 22902 Phone: 540-455-4055
Maurice Apprey, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2955 Ivy Road, Suite 210, Uva Northridge, Charlottesville, VA 22903 Phone: 434-243-4646 Fax: 434-972-4260
Ms. Marcia A Becker, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Preston Ave, Charlottesville, VA 22903 Phone: 434-972-1830 Fax: 434-970-1375
Kelly Greer, MS, LPC, CFTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 S Pantops Dr, Charlottesville, VA 22911 Phone: 434-337-3860 Fax: 434-208-3430
Cara Marinucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Jefferson St, Charlottesville, VA 22902 Phone: 434-960-2327 Fax: 434-296-0068
Mr. Richard Charles Fawcett, LPC Counselor Medicare: Medicare Enrolled Practice Location: 502 Old Lynchburg Rd, Charlottesville, VA 22903 Phone: 434-970-1489
Rachel G Weaver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Riverbend Dr Ste 2, Charlottesville, VA 22911 Phone: 540-219-5676

Ms Rebecca T Bergum, LPC, CSAC - Medicare Counselor in Charlottesville, VA