Austin Charles Bergeron, PA-C is a medicare enrolled "Physician Assistant" physician in West Warwick, Rhode Island. His current practice location is
207 Quaker Ln Fl 1, West Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 828-7110.
Austin Charles Bergeron is licensed to practice in Rhode Island (license number PA01644) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235895194
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799220158
- Enrollment ID: I20240710003544
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
enrolled with medicare and thus, if eligible, can 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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