Dr Jaclyn Beaghan Bergeron, MD - Medicare Internal Medicine in Memphis, TN

Dr Jaclyn Beaghan Bergeron, MD is a medicare enrolled "Internal Medicine" physician in Memphis, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Ut Regional One Physicians Inc and her current practice location is 1169 Jefferson Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 425-1880.

Dr Jaclyn Beaghan Bergeron is licensed to practice in Tennessee (license number 50407) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639313208.

Contact Information

Dr Jaclyn Beaghan Bergeron, MD
1169 Jefferson Ave,
Memphis, TN 38104-7217
(901) 425-1880
(901) 725-5766

Map and Direction




Physician's Profile

Full NameDr Jaclyn Beaghan Bergeron
GenderFemale
SpecialityInternal Medicine
Experience15 Years
Location1169 Jefferson Ave, Memphis, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jaclyn Beaghan Bergeron attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1639313208
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 04/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7810133568
  • Enrollment ID: I20130830000115

Medical Identifiers

Medical identifiers for Dr Jaclyn Beaghan Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639313208NPI-NPPES
Q013161MedicaidTN
6055871OtherTNBCBS
04058365MedicaidMS
199952001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 50407 (Tennessee)Secondary
207R00000XInternal Medicine 50407 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional One HealthMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Regional One Physicians Inc5698993418277

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jaclyn Beaghan Bergeron allows following entities to bill medicare on her behalf.
Entity NameMethodist Inpatient Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609850692
PECOS PAC ID: 1254241235
Enrollment ID: O20050815000700
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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. Dr Jaclyn Beaghan 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 AddressPractice Location Address
Dr Jaclyn Beaghan Bergeron, MD
Po Box 1000, Dept 351,
Memphis, TN 38148-0001

Ph: (901) 516-2362
Dr Jaclyn Beaghan Bergeron, MD
1169 Jefferson Ave,
Memphis, TN 38104-7217

Ph: (901) 425-1880

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.