Dr Gregory Walter Bergner, MD | |
1067 4th St, South Lake Tahoe, CA 96150-3459 | |
(530) 600-1960 | |
(530) 542-4372 |
Full Name | Dr Gregory Walter Bergner |
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Gender | Male |
Speciality | Family Medicine |
Location | 1067 4th St, South Lake Tahoe, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851398671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G34890 (California) | Primary |
Entity Name | Tahoe Carson Valley Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
Mailing Address | Practice Location Address |
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Dr Gregory Walter Bergner, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Gregory Walter Bergner, MD 1067 4th St, South Lake Tahoe, CA 96150-3459 Ph: (530) 600-1960 |
Dr. Matthew Paul Wonnacott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Monika Lisa Mehrens, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 Fax: 530-541-8723 | |
Dr. Brooks Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Dr. Paul William Rork, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Abby Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 South Ave, #25-a, South Lake Tahoe, CA 96158 Phone: 530-541-3286 Fax: 530-541-2005 | |
Brooke M Pancio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Erin Elizabeth Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 |