| Garin B Bergeson, DO | |
|
13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 | |
| (623) 876-3870 | |
| (623) 285-2707 |
| Full Name | Garin B Bergeson |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 6 Years |
| Location | 13995 W Statler Blvd Ste 200, Surprise, Arizona |
| 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 |
|---|---|---|---|
| 1245878172 | NPI | - | NPPES |
| 011339 | Other | AZ | ARIZONA BOARD OF OSTEOPATHIC EXAMINERS |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 011339 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Garin B Bergeson, DO 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 Ph: (623) 478-3100 | Garin B Bergeson, DO 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 Ph: (623) 876-3870 |
Jacqueline Kristina Dumagpi, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13995 W Statler Blvd, Surprise, AZ 85374 Phone: 623-478-3100 | |
Ravi K Bajpai, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-544-8400 Fax: 623-544-8989 | |
Dr. Dapinderjit Singh Gill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 623-583-3001 | |
Vicki Denise Copeland, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 Fax: 623-815-9253 | |
Neena K Uppal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374 Phone: 623-544-6860 Fax: 623-544-6861 | |
Harold Martin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14827 W Bell Rd Ste 103, Surprise, AZ 85374 Phone: 623-745-4245 Fax: 623-745-4244 | |
Gurvinder Singh Dhaliwal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13995 W Statler Blvd Ste 200, Surprise, AZ 85374 Phone: 623-478-3100 Fax: 623-478-3300 |