| Dr John J Bergin, MD | |
|
4520 W Us Highway 90, Lake City, FL 32055-8341 | |
| (386) 755-0601 | |
| (386) 755-0602 |
| Full Name | Dr John J Bergin |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 9 Years |
| Location | 4520 W Us Highway 90, Lake City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073040382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME168285 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake City Cancer Care Llc | 7315250685 | 7 |
| Entity Name | Lake City Cancer Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John J Bergin, MD Po Box 931887, Atlanta, GA 31193-1887 Ph: (888) 802-9885 | Dr John J Bergin, MD 4520 W Us Highway 90, Lake City, FL 32055-8341 Ph: (386) 755-0601 |
Dr. Mary Hamer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Vamc, Marion St., Lake City, FL 32025 Phone: 386-755-3016 | |
Pachagiri L Suresh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 | |
Mark Edmund Thompson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 W Us Highway 90, Lake City, FL 32055 Phone: 352-755-0601 Fax: 352-755-0602 | |
Ricardo Bedoya-garcia, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 183 Nw Gwen Lake Ave, Lake City, FL 32055 Phone: 386-752-9144 Fax: 386-752-5881 | |
Ashley Nobles, R.T.(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 |