| Sophia Marie Bergner, MS, RD, CD | |
|
1501 S Madison St, Appleton, WI 54915-1846 | |
| (920) 730-5423 | |
| Not Available |
| Full Name | Sophia Marie Bergner |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1501 S Madison St, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760101638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 5009-29 (Wisconsin) | Primary |
| Provider Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Provider Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Marie Bergner, MS, RD, CD 1501 S Madison St, Appleton, WI 54915-1846 Ph: (920) 730-5423 | Sophia Marie Bergner, MS, RD, CD 1501 S Madison St, Appleton, WI 54915-1846 Ph: (920) 730-5423 |
Mrs. Lori Lk Hartz, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-831-5077 | |
Anna Lee Nushart, RDN, CD Dietitian Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-454-3172 Fax: 920-831-5093 | |
Trina E Pachan, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-830-5962 Fax: 920-830-5093 | |
Abby Vallejo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 N Westhill Blvd, Appleton, WI 54914 Phone: 920-968-2367 | |
Mrs. Carrie Kristen Baum, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-749-1171 | |
Cheryl Lynn Shockey, R.D., M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Appleton Medical Center 1818 North Meade Street, Appleton, WI 54911 Phone: 920-738-5356 | |
Brittany K Shaw, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-831-5077 Fax: 920-831-5093 |