Larry Richard Bergman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC

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Larry Richard Bergman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. His current practice location is 8800 N Tryon St, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 863-5665.

Larry Richard Bergman is licensed to practice in North Carolina (license number 16268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326082314.

Contact Information

Larry Richard Bergman, CRNA
8800 N Tryon St,
Charlotte, NC 28262-3300
(704) 863-5665
(704) 863-5848

Map and Direction




Provider's Profile

Full NameLarry Richard Bergman
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location8800 N Tryon St, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326082314
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 08/25/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214030642
  • Enrollment ID: I20070305000788

Medical Identifiers

Medical identifiers for Larry Richard Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326082314NPI-NPPES
16268OtherAANA LICENSE
061405OtherNCRN LICENSE
8050899MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 16268 (North Carolina)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. Larry Richard Bergman allows following entities to bill medicare on his behalf.
Entity NameCleveland County Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093708711
PECOS PAC ID: 3173431897
Enrollment ID: O20040108000461
Entity NameCarolina Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723791
PECOS PAC ID: 1456251057
Enrollment ID: O20040115000938
Entity NameCarolina Regional Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072609
PECOS PAC ID: 5496921769
Enrollment ID: O20120109000406

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. Larry Richard Bergman 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 AddressPractice Location Address
Larry Richard Bergman, CRNA
Po Box 560727, Anesthesia Department,
Charlotte, NC 28256-0727

Ph: (704) 863-5665		Larry Richard Bergman, CRNA
8800 N Tryon St,
Charlotte, NC 28262-3300

Ph: (704) 863-5665

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4239    Fax: 704-384-5636
Mr. Kevin E. West, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Meredith L Draper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Alison Anne Woodruff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Raven Danielle Lyles,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4274    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.