Dr Nickles Paul Bergeron, MD | |
800 E Main St, Ville Platte, LA 70586-4618 | |
(225) 766-7796 | |
Not Available |
Full Name | Dr Nickles Paul Bergeron |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 800 E Main St, Ville Platte, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821036948 | NPI | - | NPPES |
1057665 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 199948 (Louisiana) | Primary |
Entity Name | Mayfair Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750870226 PECOS PAC ID: 3375808645 Enrollment ID: O20180607002576 |
Mailing Address | Practice Location Address |
---|---|
Dr Nickles Paul Bergeron, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Nickles Paul Bergeron, MD 800 E Main St, Ville Platte, LA 70586-4618 Ph: (225) 766-7796 |
Dr. James Joseph Mulvey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Ville Platte, LA 70586 Phone: 504-833-1125 | |
Dr. Gregory Mark Allain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E Main St, Ville Platte, LA 70586 Phone: 337-668-4040 | |
Dr. Henry Joseph Dupre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 W Main St, Ville Platte, LA 70586 Phone: 337-363-5531 Fax: 337-363-5250 | |
Dr. Kenneth Scott Parks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Main St, Ville Platte, LA 70586 Phone: 337-506-2060 |