Audrey Bergeson, MD | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7850 | |
Not Available |
Full Name | Audrey Bergeson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 1034 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427478577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q9957 (Texas) | Secondary |
207P00000X | Emergency Medicine | BP10049734 (Texas) | Secondary |
207P00000X | Emergency Medicine | 11439161-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Valley Emergency Physicians Inc | 2860390879 | 31 |
Entity Name | Utah Valley Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649204553 PECOS PAC ID: 2860390879 Enrollment ID: O20040727000274 |
Entity Name | Castleview Physician Practice, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
Entity Name | West Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548929565 PECOS PAC ID: 1850785296 Enrollment ID: O20220228002097 |
Mailing Address | Practice Location Address |
---|---|
Audrey Bergeson, MD Po Box 10, Spanish Fork, UT 84660-0019 Ph: (330) 903-3294 | Audrey Bergeson, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850 |
Adam R Krommenhoek, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Dr. Christopher Nathan Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Craig P Patten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-373-7850 | |
Robert D Christensen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Andrew Pressman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mr. Tanner Lee Frey, PHYSICIAN ASSISTANT Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-358-1076 | |
Dr. Cameron Royall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-362-4119 |