Jorge J Bergese, MD is a
Plastic Surgery physician based in Mansfield, Ohio. Jorge J Bergese is licensed to practice in Ohio (license number 35.038255) and his current practice location is 370 Cline Ave, Mansfield, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 756-1125.
NPI number for Jorge J Bergese is 1053417550 and his current mailing address is 370 Cline Ave, Mansfield, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053417550.
Physician's Profile
| Full Name | Jorge J Bergese |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 370 Cline Ave, Mansfield, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053417550
- Provider Enumeration Date: 09/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jorge J Bergese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053417550 | NPI | - | NPPES |
| 0332376 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 35.038255 (Ohio) | Primary |
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. Jorge J Bergese is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jorge J Bergese, MD
370 Cline Ave,
Mansfield, OH 44907-1057
Ph: (419) 756-1125 | Jorge J Bergese, MD
370 Cline Ave,
Mansfield, OH 44907-1057
Ph: (419) 756-1125 |
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