Leona M Bergen, ACNPC-AG is a medicare enrolled "General Acute Care Hospital" in Poplar Bluff, Missouri. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1831636281
- Provider Enumeration Date: 01/24/2017
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Leona M Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 |
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 |
|---|
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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