Dr Michele Shoshana Bergen, DMD, MD in Greenwich, CT - Medicare Maxillofacial Surgery Provider

Dr Michele Shoshana Bergen, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Greenwich, Connecticut. She went to Rutgers New Jersey Medical School and graduated in 2001 and has 25 years of diverse experience with area of expertise as Maxillofacial Surgery. Her current practice location is 49 Lake Ave, Greenwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 661-4231.

Dr Michele Shoshana Bergen is licensed to practice in Connecticut (license number 009275) 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 1215929286.

Contact Information

	Dr Michele Shoshana Bergen, DMD, MD
	49 Lake Ave, Greenwich, CT 06830-4501
	(203) 661-4231
	(203) 661-0155

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michele Shoshana Bergen
Gender	Female
Speciality	Maxillofacial Surgery
Experience	25 Years
Location	49 Lake Ave, Greenwich, Connecticut
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:

Dr Michele Shoshana Bergen attended and graduated from Rutgers New Jersey Medical School in 2001

NPI Data:

NPI Number: 1215929286
Provider Enumeration Date: 08/16/2005
Last Update Date: 08/08/2012

Medicare PECOS Information:

PECOS PAC ID: 4880643436
Enrollment ID: I20050120000772

Medical Identifiers

Medical identifiers for Dr Michele Shoshana Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215929286	NPI	-	NPPES
001422063	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	009275 (Connecticut)	Primary
204E00000X	Oral & Maxillofacial Surgery	042206 (Connecticut)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	050181 (New York)	Secondary
204E00000X	Oral & Maxillofacial Surgery	231685 (New York)	Secondary

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. Dr Michele Shoshana Bergen allows following entities to bill medicare on her behalf.

Entity Name	Center For Oral And Implant Surgery Of Greenwich, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194053942 PECOS PAC ID: 6507909439 Enrollment ID: O20100201000547

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. Dr Michele Shoshana 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 Address	Practice Location Address
Dr Michele Shoshana Bergen, DMD, MD 49 Lake Ave, Greenwich, CT 06830-4501 Ph: (203) 661-4231	Dr Michele Shoshana Bergen, DMD, MD 49 Lake Ave, Greenwich, CT 06830-4501 Ph: (203) 661-4231

Reviews and Comments

Dentist in Greenwich, CT

Dr. Ishrat Rangwala, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Wilbur Peck Court, Greenwich, CT 06830 Phone: 646-379-6675 Fax: 646-379-6675
Dr. Michael Forman, D.M.D. , M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23 Maple Ave, Greenwich, CT 06830 Phone: 203-661-5858
Dr. Eman J. Traynor, D.M.D.,M.S.,L.L.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 Valley Dr Ste 302, Greenwich, CT 06831 Phone: 203-661-5885 Fax: 203-661-8771
Dr. Joel M Leon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 138 Milbank Ave, Greenwich, CT 06830 Phone: 203-869-8345 Fax: 203-869-0909
Tiffany Madison Christensen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Dearfield Dr Ste 204, Greenwich, CT 06831 Phone: 203-869-2044
Dr. Padmini Gupta, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 80 Midwood Rd, Greenwich, CT 06830 Phone: 203-869-0905

Dr Michele Shoshana Bergen, DMD, MD - Medicare Dentist in Greenwich, CT