Waylon C Bergeron (NPI# 1306209721, PAC ID# 5799084000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306209721 |
| PAC ID by PECOS | 5799084000 |
| Professional Enrollment ID | I20160506001976 |
| Full Name | Waylon C Bergeron |
| Organization Legal Name | PSYCHIATRIC SERVICES OF HOUSTON AND ASSOCIATES I, PLLC |
| Address |
225 S Main St Oakwood Manor Nursing Home Vidor TX 77662-5745 |
| Phone Number | 4097693692 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486827391 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450518 | THE MEDICAL CENTER OF SOUTHEAST TEXAS |
| Address | Phone | Organization |
|---|---|---|
| 1175 Denton St, Beaumont, TX 77707-3913 | 4098423120 | PSYCHIATRIC SERVICES OF HOUSTON AND ASSOCIATES I, PLLC |
| 3775 Milam St, Beaumont, TX 77701-4725 | 4098358357 | COMPASSION PALLIATIVE CARE INC |
| 6025 Metropolitan Dr, Beaumont, TX 77706-2407 | 4096177700 | PORT ARTHUR EMERGENCY PHYSICIANS |
| 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 4098535400 | PORT ARTHUR EMERGENCY PHYSICIANS |
| 225 S Main St, Oakwood Manor Nursing Home, Vidor, TX 77662-5745 | 4097693692 | PSYCHIATRIC SERVICES OF HOUSTON AND ASSOCIATES I, PLLC |
| Organization Legal Name | PSYCHIATRIC SERVICES OF HOUSTON AND ASSOCIATES I, PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abiola Atobatele | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 11395 Richmond Ave, Houston, TX 77082-2615 |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Pheba Pappachan | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 3921 N Main St, The Rehabilitation and Health Center At Baytown, Baytown, TX 77521-3307 |
| Adesuwa A Omigie | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1221 Graham Dr, Tomball, TX 77375-6407 |
| Tayfun Karakoc | Psychiatry | Psychiatric Services of Houston and Associates I, Pllc | 1433 Veterans Memorial Pkwy, Huntsville, TX 77340-8822 |
| Krista L Lewis | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1480 Katy Flewellen Rd, Katy, TX 77494-6631 |
| Olufunmilola Kehinde Atandeyi | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 11395 Richmond Ave, Houston, TX 77082-2615 |
| Mohamed Bah | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 11902 Resource Pkwy, Houston, TX 77089-6086 |
| Elizabeth Jo Maples | Physician Assistant | Psychiatric Services of Houston and Associates I, Pllc | 11395 Richmond Ave, Houston, TX 77082-2615 |
| Charlotte D Amorin | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 3730 W Orem Dr, La Hacienda Rehabilitation and Health, Houston, TX 77045-4426 |
| Street Address |
225 S MAIN ST OAKWOOD MANOR NURSING HOME |
| City | VIDOR |
| State | TX |
| Zip | 77662-5745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Corrie B Lovercheck | Optometry | 225 S Main St, Pendleton, OR 97801-2243 | |
| Keena M Reddin | Clinical Social Worker | 225 S Main St, Suite 102, Jonesboro, AR 72401-2997 | |
| Bradley B Brzezinski | Chiropractic | 225 S Main St, Brooklyn, MI 49230-9158 | |
| Donald R Lasher | Optometry | 225 S Main St, Lakeport, CA 95453-5018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Clark | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 |
| Suhani M Bhakta | Family Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 |
| Jason M Holmes | Chiropractic | 2612 N Main, Vidor, TX 77662-2674 | |
| Shannon R Boyer | Psychologist, Clinical | Senior Psychological Care I LLC | 470 Moore Dr, Vidor, TX 77662-3843 |
| Duncan G Bowell | Family Medicine | 1091 N Main St, B, Vidor, TX 77662-4360 | |
| Brooke Ann Manuel | Nurse Practitioner | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| James L Slayton Jr. | Internal Medicine | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| Sei C Oh | General Practice | Winnie Community Hospital, LLC | 515 S Archie St, Vidor, TX 77662-4868 |
| Christopher E Quirante | Physician Assistant | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Michael K Crossley | Emergency Medicine | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Find all physicians in zip 77662 | |||
| City | VIDOR |
| Zip Code | 77662 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VIDOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Waylon C Bergeron.
| 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.