| Dr Bryce Bergeron, MD | |
|
2185 Citracado Pkwy, Escondido, CA 92029-4159 | |
| (442) 281-5000 | |
| Not Available |
| Full Name | Dr Bryce Bergeron |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2185 Citracado Pkwy, Escondido, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699327528 | NPI | - | NPPES |
| 114418200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME156133 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | A208084 (California) | Primary |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryce Bergeron, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-3292 | Dr Bryce Bergeron, MD 2185 Citracado Pkwy, Escondido, CA 92029-4159 Ph: (442) 281-5000 |
Brad Lynn Schwartz, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
John C. Fredericks, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Dr. Erica Bailey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-1072 | |
John S. Anshus, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Jennifer P Cohen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 N Ash St, Escondido, CA 92027 Phone: 760-385-3739 Fax: 888-800-8266 | |
Russell W. Engevik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
John C. Gill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 |