| Sheri B Bergeron, MD | |
|
3500 Tower Ave, Superior, WI 54880-4491 | |
| (715) 817-7000 | |
| Not Available |
| Full Name | Sheri B Bergeron |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 3500 Tower Ave, Superior, Wisconsin |
| 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 |
|---|---|---|---|
| 1427008259 | NPI | - | NPPES |
| K400263394 | Other | WI | MEDICARE |
| 763578800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39302 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 64745-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health Northern Pines Medical Center | Aurora, MN | Hospital |
| Deer River Healthcare Center | Deer river, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Northern Pines Medical Center | 3870565641 | 25 |
| St Marys Hospital Of Superior | 8628964228 | 75 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Entity Name | St Marys Hospital Of Superior |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588691588 PECOS PAC ID: 8628964228 Enrollment ID: O20180816002902 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheri B Bergeron, MD 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Ph: (218) 786-8364 | Sheri B Bergeron, MD 3500 Tower Ave, Superior, WI 54880-4491 Ph: (715) 817-7000 |