Dr John J Bergin, MD | |
289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 | |
(386) 755-1655 | |
(386) 628-9231 |
Full Name | Dr John J Bergin |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 289 Sw Stonegate Ter Ste 103, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073040382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME168285 (Florida) | Primary |
Entity Name | Campbell County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Mailing Address | Practice Location Address |
---|---|
Dr John J Bergin, MD 104 Woodmont Blvd Ste 500, Nashville, TN 37205-2245 Ph: (559) 475-4151 | Dr John J Bergin, MD 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 Ph: (386) 755-1655 |
Dr. Mary Hamer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Vamc, Marion St., Lake City, FL 32025 Phone: 386-755-3016 | |
Pachagiri L Suresh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 | |
Mark Edmund Thompson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 W Us Highway 90, Lake City, FL 32055 Phone: 352-755-0601 Fax: 352-755-0602 | |
Ricardo Bedoya-garcia, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 183 Nw Gwen Lake Ave, Lake City, FL 32055 Phone: 386-752-9144 Fax: 386-752-5881 | |
Ashley Nobles, R.T.(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 |