Edmond X Bergeron Iii, MP is a medicare enrolled "Psychologist - Prescribing (medical)" provider in New Iberia, Louisiana. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Iberia Comprehensive Community Health Center Inc and his current practice location is
806 Jefferson Ter, New Iberia, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 365-4945.
Edmond X Bergeron Iii is licensed to practice in Louisiana (license number 606MP) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235211798.
Healthcare Provider's Profile
Full Name | Edmond X Bergeron Iii |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 23 Years |
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Location | 806 Jefferson Ter, New Iberia, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edmond X Bergeron Iii graduated from medical school in 2001
NPI Data:
- NPI Number: 1235211798
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224093000
- Enrollment ID: I20041122000003
Medical Identifiers
Medical identifiers for Edmond X Bergeron Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235211798 | NPI | - | NPPES |
1660841 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 606MP (Louisiana) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | 606MP (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Iberia Comprehensive Community Health Center Inc | 6204817828 | 35 |
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. Edmond X Bergeron Iii allows following entities to bill medicare on his behalf.
Entity Name | Iberia Comprehensive Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922046549 PECOS PAC ID: 6204817828 Enrollment ID: O20050809000029 |
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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. Edmond X Bergeron Iii 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 |
Edmond X Bergeron Iii, MP 806 Jefferson Ter, New Iberia, LA 70560-5727 Ph: (337) 365-4945 | Edmond X Bergeron Iii, MP 806 Jefferson Ter, New Iberia, LA 70560-5727 Ph: (337) 365-4945 |
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