Larry Richard Bergman, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Larry Richard Bergman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. His current practice location is 8800 N Tryon St, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 863-5665.

Larry Richard Bergman is licensed to practice in North Carolina (license number 16268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326082314.

Contact Information

	Larry Richard Bergman, CRNA
	8800 N Tryon St, Charlotte, NC 28262-3300
	(704) 863-5665
	(704) 863-5848

Map and Direction

Provider's Profile

Full Name	Larry Richard Bergman
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	8800 N Tryon St, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326082314
Provider Enumeration Date: 06/16/2006
Last Update Date: 08/25/2007

Medicare PECOS Information:

PECOS PAC ID: 7214030642
Enrollment ID: I20070305000788

Medical Identifiers

Medical identifiers for Larry Richard Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326082314	NPI	-	NPPES
16268	Other		AANA LICENSE
061405	Other	NC	RN LICENSE
8050899	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	16268 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry Richard Bergman allows following entities to bill medicare on his behalf.

Entity Name	Carolina Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938

Entity Name	Carolina Regional Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Richard Bergman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry Richard Bergman, CRNA Po Box 560727, Anesthesia Department, Charlotte, NC 28256-0727 Ph: (704) 863-5665	Larry Richard Bergman, CRNA 8800 N Tryon St, Charlotte, NC 28262-3300 Ph: (704) 863-5665

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000

Larry Richard Bergman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC