Mrs Victoria Jaide Bergeron, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Arnaudville, Louisiana. Her current practice location is
119 Fuselier Street, Arnaudville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 284-5684.
Mrs Victoria Jaide Bergeron is licensed to practice in Louisiana (license number 231921) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891476859.
Provider's Profile
Full Name | Mrs Victoria Jaide Bergeron |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 119 Fuselier Street, Arnaudville, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891476859
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062875461
- Enrollment ID: I20230901001146
Medical Identifiers
Medical identifiers for Mrs Victoria Jaide Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891476859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 231921 (Louisiana) | 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. Mrs Victoria Jaide Bergeron allows following entities to bill medicare on her behalf.
Entity Name | Southside Family Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720508955 PECOS PAC ID: 3779859392 Enrollment ID: O20171107000495 |
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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. Mrs Victoria Jaide Bergeron 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 |
Mrs Victoria Jaide Bergeron, APRN-CNP 304 N Hospital Dr Ste A, Abbeville, LA 70510-4041 Ph: (337) 385-1972 | Mrs Victoria Jaide Bergeron, APRN-CNP 119 Fuselier Street, Arnaudville, LA 70512 Ph: (337) 284-5684 |
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