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LISA Y BERGMARK PAC
NPI 1740439611
Physician Assistant in Brewer, ME

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
735 WILSON ST, BREWER, ME 04412(207) 989-1567(207) 989-2287 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Apr 19, 2021 (2 updates tracked since 2021).

About Lisa Y Bergmark Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA Y BERGMARK PAC (NPI 1740439611) is an individual physician assistant in Brewer, Maine, licensed in Maine (PA1434) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1740439611
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA Y BERGMARKCredential: PAC
Location Address735 WILSON STBrewer, ME 04412-1000
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435
Phone(207) 989-1567
Fax(207) 989-2287
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 15, 2008
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1740439611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA1434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
735 WILSON ST, Brewer, ME 04412
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Y Bergmark Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799825204
PECOS Enrollment IDI20140131000926
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE A MORIN FNPC
Nurse Practitioner
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
BRITTANY BARKER LCSW
Social Worker (Clinical)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 992-2205
DAVID P WADE PAC
Physician Assistant
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
MS. PATRICIA ANN KENALEY FNP
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
BOBBI J MCLAIN CFNP
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 404-8100
MS. JENNIFER LYNN MOSS LCSW
Social Worker (Clinical)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 945-5247
BRAYLEE WARDWELL
Pharmacist
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 992-4100
GEORGE L CASE FNPC
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bergmark's NPI number?

The NPI number for Lisa Bergmark is 1740439611. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Lisa Bergmark located?

Lisa Bergmark practices at 735 Wilson St, Brewer, ME 04412. The listed phone number is (207) 989-1567.

What is Lisa Bergmark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Bergmark enrolled in Medicare?

Yes. Lisa Bergmark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Bergmark accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Bergmark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Bergmark was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.