Leona M Bergen, ACNPC-AG is a medicare enrolled "General Acute Care Hospital" in Poplar Bluff, Missouri. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poplar Bluff Hma Physician Management, Llc and her current practice location is
3100 Oak Grove Rd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 776-2000.
Leona M Bergen is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831636281.
Provider's Profile
| Full Name | Leona M Bergen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 3100 Oak Grove Rd, Poplar Bluff, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leona M Bergen graduated from nursing school in 2016
NPI Data:
- NPI Number: 1831636281
- Provider Enumeration Date: 01/24/2017
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789969965
- Enrollment ID: I20170330002241
Medical Identifiers
Medical identifiers for Leona M Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831636281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 2016037517 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2019007962 (Missouri) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Poplar Bluff Hma Physician Management, Llc | 5092769703 | 38 |
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. Leona M Bergen allows following entities to bill medicare on her behalf.
| Entity Name | Poplar Bluff Hma Physician Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598710147
PECOS PAC ID: 5092769703
Enrollment ID: O20050307000013 |
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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. Leona M Bergen 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 |
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Leona M Bergen, ACNPC-AG
2169 Wayne 380,
Patterson, MO 63956-7106
Ph: (573) 944-0514 | Leona M Bergen, ACNPC-AG
3100 Oak Grove Rd,
Poplar Bluff, MO 63901-1573
Ph: (573) 776-2000 |
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