Edward Carl Bergen, DO | |
1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | |
(337) 494-3278 | |
(337) 494-3240 |
Full Name | Edward Carl Bergen |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 22 Years |
Location | 1717 Oak Park Blvd Fl 2, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760454391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | DO000438 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
Beauregard Memorial Hospital | Deridder, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Louisiana Hospital Association Inc | 3274427695 | 7 |
Lake Charles Memorial Heart And Vascular Center | 4082689914 | 14 |
Entity Name | Lake Charles Memorial Heart And Vascular Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407808405 PECOS PAC ID: 4082689914 Enrollment ID: O20040901001355 |
Entity Name | West Louisiana Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164985495 PECOS PAC ID: 5799680245 Enrollment ID: O20110216000789 |
Entity Name | Southwest Louisiana Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902326572 PECOS PAC ID: 3274427695 Enrollment ID: O20170822003544 |
Mailing Address | Practice Location Address |
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Edward Carl Bergen, DO Po Box 122152, Dept 2152, Dallas, TX 75312-2152 Ph: (337) 494-2772 | Edward Carl Bergen, DO 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 Ph: (337) 494-3278 |
Robin Ann Rougeau, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 South Ryan St, #101, Lake Charles, LA 70601 Phone: 337-439-0762 Fax: 337-436-8862 | |
Dr. Jean King White, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. William R Condos Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. Leroy E Fredericks, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 210, Lake Charles, LA 70601 Phone: 337-494-6768 Fax: 337-494-6792 | |
Gerald W Byrd, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350 | |
Dr. Eric Charles Fontenot, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786 | |
Francisco Jose Marrero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786 |