Lisa Marie Bergeron, APRN | |
627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066 | |
(860) 222-0949 | |
(888) 326-5828 |
Full Name | Lisa Marie Bergeron |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 627 Norwich Salem Tpke Unit 2, Oakdale, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366715179 | NPI | - | NPPES |
004235900 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4923 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Mary's Hospital | Waterbury, CT | Hospital |
Middlesex Hospital | Middletown, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mhs Primary Care, Inc | 4082507371 | 143 |
Trinity Health Of New England Urgent Care Pllc | 9436561388 | 21 |
Entity Name | Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730284605 PECOS PAC ID: 3870564172 Enrollment ID: O20040802000825 |
Entity Name | Afc Physicians Of Connecticut, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003152984 PECOS PAC ID: 5193966893 Enrollment ID: O20130723000274 |
Entity Name | Quentin Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487087250 PECOS PAC ID: 4981833647 Enrollment ID: O20140130000098 |
Entity Name | Mhs Primary Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093138935 PECOS PAC ID: 4082507371 Enrollment ID: O20140814001234 |
Entity Name | Qmg 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437546363 PECOS PAC ID: 0345541512 Enrollment ID: O20151211000754 |
Entity Name | Qmg4 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023471299 PECOS PAC ID: 4284912957 Enrollment ID: O20161031002469 |
Entity Name | Qmg3 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053856039 PECOS PAC ID: 8628353117 Enrollment ID: O20170324000321 |
Entity Name | Hartford Healthcare Urgent Care Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
Entity Name | Dispatchhealth-connecticut Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184242752 PECOS PAC ID: 3274944830 Enrollment ID: O20201203000304 |
Entity Name | Trinity Health Of New England Urgent Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447867452 PECOS PAC ID: 9436561388 Enrollment ID: O20201217000260 |
Entity Name | Qmg5 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386233344 PECOS PAC ID: 2062820913 Enrollment ID: O20210414002118 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Bergeron, APRN 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066 Ph: (860) 222-0949 | Lisa Marie Bergeron, APRN 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066 Ph: (860) 222-0949 |
Andrea Dameron, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370 Phone: 860-222-0949 Fax: 888-326-5828 |