Carl Erik Bergeson, APRN | |
117 Ellenfield St Ste 101, Providence, RI 02905-4541 | |
(401) 846-6400 | |
Not Available |
Full Name | Carl Erik Bergeson |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 117 Ellenfield St Ste 101, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659093854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APRN03208 (Rhode Island) | Primary |
Entity Name | Newport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063632180 PECOS PAC ID: 0042111437 Enrollment ID: O20040422000696 |
Mailing Address | Practice Location Address |
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Carl Erik Bergeson, APRN 59 Osceola Ave, Narragansett, RI 02882-1632 Ph: (401) 623-1922 | Carl Erik Bergeson, APRN 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 846-6400 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020 | |
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 | |
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100 |