| Jacie Bergeron, APRN FNP-C | |
|
14325 Milldale Rd, Zachary, LA 70791-8040 | |
| (225) 715-8925 | |
| Not Available |
| Full Name | Jacie Bergeron |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 14325 Milldale Rd, Zachary, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366850513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP07930 (Louisiana) | Primary |
| Entity Name | Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | Integrated Medical Services Cov Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568743375 PECOS PAC ID: 3870769805 Enrollment ID: O20111222000126 |
| Entity Name | Integrated Medical Services Ham Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619242575 PECOS PAC ID: 6204072275 Enrollment ID: O20130417000391 |
| Entity Name | East Baton Rouge Emergency Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255894952 PECOS PAC ID: 8426382243 Enrollment ID: O20190628000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacie Bergeron, APRN FNP-C 14325 Milldale Rd, Zachary, LA 70791-8040 Ph: () - | Jacie Bergeron, APRN FNP-C 14325 Milldale Rd, Zachary, LA 70791-8040 Ph: (225) 715-8925 |
Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 | |
Lori S Grace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781 | |
Courtney B Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791 Phone: 225-570-2618 | |
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824 Fax: 504-208-4952 | |
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Sarah Wallace Eisworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-570-2618 Fax: 225-570-8539 |