| Larry Bergere, MD | |
|
105 Carnegie Pl, St 103, Fayetteville, GA 30214-3980 | |
| (770) 716-7999 | |
| (770) 716-8444 |
| Full Name | Larry Bergere |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 105 Carnegie Pl, Fayetteville, Georgia |
| 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 |
|---|---|---|---|
| 1609966613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44166 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Home Care, Llc | Roswell, GA | Home health agency |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 94 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Bergere, MD 105 Carnegie Pl, St 103, Fayetteville, GA 30214-3980 Ph: (770) 716-7999 | Larry Bergere, MD 105 Carnegie Pl, St 103, Fayetteville, GA 30214-3980 Ph: (770) 716-7999 |
Carzadean Bernadette Hall, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214 Phone: 404-216-0132 | |
Vipin Ramprasad Lohiya, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214 Phone: 678-829-1060 Fax: 678-829-1099 | |
Pooja Maknoor, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1275 Highway 54 W Ste 100, Fayetteville, GA 30214 Phone: 678-817-5542 | |
Connie Dupre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214 Phone: 770-719-5601 | |
Poonam Ramani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 Phone: 770-716-7999 Fax: 770-716-8444 | |
Sushee C Gadde, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-716-0051 Fax: 770-716-0087 | |
Dr. John E Burney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 678-817-6550 Fax: 404-350-8795 |