Lisa A Bergeron, MD in Fort Wayne, IN

Lisa A Bergeron, MD is a medicare enrolled "Pediatrics" physician in Fort Wayne, Indiana. Her current practice location is 11115 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-5400.

Lisa A Bergeron is licensed to practice in Indiana (license number 01043876A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801890355.

Contact Information

	Lisa A Bergeron, MD
	11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701
	(260) 266-5400
	(260) 266-5405

Map and Direction

Physician's Profile

Full Name	Lisa A Bergeron
Gender	Female
Speciality	Pediatrics
Location	11115 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801890355
Provider Enumeration Date: 06/10/2005
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0244397602
Enrollment ID: I20090330000489

Medical Identifiers

Medical identifiers for Lisa A Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801890355	NPI	-	NPPES
200037410	Medicaid	IN
000000602350	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35065206 (Ohio)	Secondary
208000000X	Pediatrics	01043876A (Indiana)	Primary

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. Lisa A Bergeron allows following entities to bill medicare on her behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Lisa A 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
Lisa A Bergeron, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Lisa A Bergeron, MD 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 266-5400

Reviews and Comments

Pediatrics Doctors in Fort Wayne, IN

Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337
Osita Victor Ezeakudo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825 Phone: 260-432-4913 Fax: 260-969-6832
Dr. Michael Philip Dick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3898 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5750 Fax: 260-425-5755
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420

Lisa A Bergeron, MD - Medicare Pediatrics in Fort Wayne, IN