| Dr Wendy M Bergeron, MD | |
|
1415 Saint Francis Ave, Shakopee, MN 55379-3374 | |
| (952) 993-7750 | |
| Not Available |
| Full Name | Dr Wendy M Bergeron |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912984311 | NPI | - | NPPES |
| 347723100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36231 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital Care Svcs | Saint louis park, MN | Home health agency |
| Home Health Care Inc | Golden valley, MN | Home health agency |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wendy M Bergeron, MD 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () - | Dr Wendy M Bergeron, MD 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750 |
Kristin A Witte, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Mark Westholder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800 | |
Anthony Kohlenberg, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 Fax: 651-646-0205 | |
Dr. Trevor L Busch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Nancy M O Connor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599 | |
Taylor Marie Vilt, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Jawaher Taher, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 161 Pottok Ln, Shakopee, MN 55379 Phone: 952-393-2229 |