Dr Jaclyn Beaghan Bergeron, MD | |
1169 Jefferson Ave, Memphis, TN 38104-7217 | |
(901) 425-1880 | |
(901) 725-5766 |
Full Name | Dr Jaclyn Beaghan Bergeron |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 1169 Jefferson Ave, Memphis, Tennessee |
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 |
---|---|---|---|
1639313208 | NPI | - | NPPES |
Q013161 | Medicaid | TN | |
6055871 | Other | TN | BCBS |
04058365 | Medicaid | MS | |
199952001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 50407 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 50407 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional One Health | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ut Regional One Physicians Inc | 5698993418 | 277 |
Entity Name | Methodist Inpatient Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609850692 PECOS PAC ID: 1254241235 Enrollment ID: O20050815000700 |
Entity Name | Ut Regional One Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice 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 |
Khawaja Muhammad Muddassir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104 Phone: 901-758-7888 Fax: 901-387-5153 | |
Allison Montague, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1955 S 3rd St, Memphis, TN 38109 Phone: 901-515-5800 | |
Dr. Marcia Bradford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2000 Fax: 901-946-9262 | |
Dr. Aleksandar Jankov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120 Phone: 901-747-9081 Fax: 901-747-9087 | |
Manoj K Jain, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987 | |
Dr. Karl Weber, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-4739 | |
Dr. Pedro Velasquez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 300, Memphis, TN 38119 Phone: 901-683-0024 Fax: 901-683-0086 |