Austin Charles Bergeron, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Fort Lauderdale, Florida. His current practice location is
2320 Ne 9th St Ste 300, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 563-4500.
Austin Charles Bergeron is licensed to practice in Florida (license number PA9115307) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235895194.
Physician's Profile
Full Name | Austin Charles Bergeron |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 2320 Ne 9th St Ste 300, Fort Lauderdale, Florida |
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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: 1235895194
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799220158
- Enrollment ID: I20240710003544
Medical Identifiers
Medical identifiers for Austin Charles Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235895194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | PA9115307 (Florida) | Secondary |
363A00000X | Physician Assistant | PA01644 (Rhode Island) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA9115307 (Florida) | Primary |
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. Austin Charles 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 |
Austin Charles Bergeron, PA-C 2320 Ne 9th St Ste 300, Fort Lauderdale, FL 33304-3590 Ph: (954) 563-4500 | Austin Charles Bergeron, PA-C 2320 Ne 9th St Ste 300, Fort Lauderdale, FL 33304-3590 Ph: (954) 563-4500 |
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