Lisa Marie Bergeron, APRN - Medicare Nurse Practitioner in Oakdale, CT

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Lisa Marie Bergeron, APRN is a medicare enrolled "Nurse Practitioner - Family" in Oakdale, Connecticut. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mhs Primary Care, Inc, Trinity Health Of New England Urgent Care Pllc and her current practice location is 627 Norwich Salem Tpke Unit 2, Oakdale, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 222-0949.

Lisa Marie Bergeron is licensed to practice in Connecticut (license number 4923) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366715179.

Contact Information

Lisa Marie Bergeron, APRN
627 Norwich Salem Tpke Unit 2,
Oakdale, CT 06370-1066
(860) 222-0949
(888) 326-5828

Map and Direction




Provider's Profile

Full NameLisa Marie Bergeron
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location627 Norwich Salem Tpke Unit 2, Oakdale, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Marie Bergeron graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1366715179
  • Provider Enumeration Date: 02/10/2012
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143480350
  • Enrollment ID: I20120327000056

Medical Identifiers

Medical identifiers for Lisa Marie Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366715179NPI-NPPES
004235900MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4923 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mhs Primary Care, Inc4082507371143
Trinity Health Of New England Urgent Care Pllc943656138823

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. Lisa Marie Bergeron allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730284605
PECOS PAC ID: 3870564172
Enrollment ID: O20040802000825
Entity NameAfc Physicians Of Connecticut, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003152984
PECOS PAC ID: 5193966893
Enrollment ID: O20130723000274
Entity NameQuentin Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087250
PECOS PAC ID: 4981833647
Enrollment ID: O20140130000098
Entity NameMhs Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093138935
PECOS PAC ID: 4082507371
Enrollment ID: O20140814001234
Entity NameQmg 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437546363
PECOS PAC ID: 0345541512
Enrollment ID: O20151211000754
Entity NameQmg4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023471299
PECOS PAC ID: 4284912957
Enrollment ID: O20161031002469
Entity NameQmg3 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053856039
PECOS PAC ID: 8628353117
Enrollment ID: O20170324000321
Entity NameHartford Healthcare Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239683
PECOS PAC ID: 7618242777
Enrollment ID: O20170929001464
Entity NameDispatchhealth-connecticut Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184242752
PECOS PAC ID: 3274944830
Enrollment ID: O20201203000304
Entity NameTrinity Health Of New England Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447867452
PECOS PAC ID: 9436561388
Enrollment ID: O20201217000260
Entity NameQmg5 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386233344
PECOS PAC ID: 2062820913
Enrollment ID: O20210414002118

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. Lisa Marie Bergeron 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 AddressPractice Location Address
Lisa Marie Bergeron, APRN
627 Norwich Salem Tpke Unit 2,
Oakdale, CT 06370-1066

Ph: (860) 222-0949		Lisa Marie Bergeron, APRN
627 Norwich Salem Tpke Unit 2,
Oakdale, CT 06370-1066

Ph: (860) 222-0949

Reviews and Comments


Nurse Practitioner Nurses in Oakdale, CT

Andrea Dameron, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370
Phone: 860-222-0949    Fax: 888-326-5828

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.