Edward Joseph Bergeron, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Traverse City, Michigan. He went to Wayne State University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Munson Medical Center and his current practice location is
1221 Sixth St Ste 202, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 935-5730.
Edward Joseph Bergeron is licensed to practice in Michigan (license number 4301086049) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477753952.
Physician's Profile
Full Name | Edward Joseph Bergeron |
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Gender | Male |
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Speciality | Thoracic Surgery |
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Experience | 19 Years |
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Location | 1221 Sixth St Ste 202, Traverse City, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edward Joseph Bergeron attended and graduated from Wayne State University School Of Medicine in 2005
NPI Data:
- NPI Number: 1477753952
- Provider Enumeration Date: 07/23/2007
- Last Update Date: 04/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062644933
- Enrollment ID: I20170522002575
Medical Identifiers
Medical identifiers for Edward Joseph Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477753952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301086049 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Colorado) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301086049 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Munson Medical Center | 3072426287 | 262 |
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. Edward Joseph Bergeron allows following entities to bill medicare on his behalf.
Entity Name | Munson Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
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Entity Name | Cardiothoracic Surgeons Of G.t. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679797195 PECOS PAC ID: 0941236525 Enrollment ID: O20080404000647 |
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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. Edward Joseph 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 Address | Practice Location Address |
Edward Joseph Bergeron, MD 1221 Sixth St Ste 202, Traverse City, MI 49684-2359 Ph: (231) 935-5730 | Edward Joseph Bergeron, MD 1221 Sixth St Ste 202, Traverse City, MI 49684-2359 Ph: (231) 935-5730 |
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