Lori Bergeron, | |
391 Pomret Street, Putnam, CT 06260 | |
(860) 963-4971 | |
Not Available |
Full Name | Lori Bergeron |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 391 Pomret Street, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184095960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Community Health Resources, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
Mailing Address | Practice Location Address |
---|---|
Lori Bergeron, 995 Day Hill Rd, Windsor, CT 06095-1722 Ph: (860) 731-5522 | Lori Bergeron, 391 Pomret Street, Putnam, CT 06260 Ph: (860) 963-4971 |
Morgan Savino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 391 Pomfret St, Putnam, CT 06260 Phone: 886-073-1552 Fax: 860-735-5536 | |
Mary Mcginn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 391 Pomfret St, Putnam, CT 06260 Phone: 860-963-4971 Fax: 860-963-4979 | |
Jennifer Salvas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6385 | |
Clara C Costabile, Counselor Medicare: Not Enrolled in Medicare Practice Location: 391 Pomfret St, Putnam, CT 06260 Phone: 860-731-5522 Fax: 860-731-5536 | |
Victoria Sousa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 391 Pomfret St, Putnam, CT 06260 Phone: 860-963-4971 Fax: 860-963-4979 | |
Michelle Lee Loucraft, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6385 | |
Jennifer A Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 391 Pomfret St, Putnam, CT 06260 Phone: 860-963-4971 Fax: 860-731-5536 |