Rhonda Gerace Bergeron (NPI# 1336250182, PAC ID# 1759476997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1336250182 |
PAC ID by PECOS | 1759476997 |
Professional Enrollment ID | I20071002000770 |
Full Name | Rhonda Gerace Bergeron |
Organization Legal Name | ACADIANA PRACTITIONERS LLC |
Address |
414 Saizan Ave Port Barre LA 70577-5156 |
Phone Number | 3374474027 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4587924188 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
414 Saizan Ave, Port Barre, LA 70577-5156 | 3374474027 | ACADIANA PRACTITIONERS LLC |
Organization Legal Name | ACADIANA PRACTITIONERS LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dustin Joseph Miller | Nurse Practitioner | Acadiana Practitioners LLC | 611 E Prudhomme St, 5 Acadiana Practitioners Opelousas, Opelousas, LA 70570-6458 |
Jennifer Ewing Marchand | Nurse Practitioner | Acadiana Practitioners LLC | 414 Saizan Ave, Port Barre, LA 70577-5156 |
Street Address |
414 SAIZAN AVE |
City | PORT BARRE |
State | LA |
Zip | 70577-5156 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Ewing Marchand | Nurse Practitioner | Acadiana Practitioners LLC | 414 Saizan Ave, Port Barre, LA 70577-5156 |
Name | Specialty | Organization | Address |
---|---|---|---|
Freddie Fandal | Family Medicine | 17695 Hwy 190, Port Barre, LA 70577-0001 | |
Amanda Zazeski | Occupational Therapy | Alvin C Moreau Jr Licensed | 16309 Hwy 190, Port Barre, LA 70577-5115 |
Alvin C Moreau Iii | Physical Therapy | Alvin C Moreau Jr Licensed | 16309 Hwy 190, Port Barre, LA 70577-5115 |
Eliza M Tate | Family Medicine | 17695 Hwy 190, Port Barre, LA 70577-5178 |
City | PORT BARRE |
Zip Code | 70577 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PORT BARRE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.