Austin Charles Bergeron, PA-C is a
Physician Assistant physician based in West Warwick, Rhode Island. Austin Charles Bergeron is licensed to practice in Rhode Island (license number PA01644) and his current practice location is 207 Quaker Ln Fl 1, West Warwick, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 828-7110.
NPI number for Austin Charles Bergeron is 1235895194 and his current mailing address is 207 Quaker Ln Fl 1, West Warwick, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235895194.
Physician's Profile
| Full Name | Austin Charles Bergeron |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 207 Quaker Ln Fl 1, West Warwick, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235895194
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Austin Charles Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235895194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | PA9115307. (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9115307 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA01644 (Rhode Island) | Primary |
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. Austin Charles Bergeron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Austin Charles Bergeron, PA-C
207 Quaker Ln Fl 1,
West Warwick, RI 02893-2179
Ph: (401) 828-7110 | Austin Charles Bergeron, PA-C
207 Quaker Ln Fl 1,
West Warwick, RI 02893-2179
Ph: (401) 828-7110 |
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