| Mrs Michelle Elizabeth Bergen, FNP-BC | |
| 1275 E Spruce Ave Ste 101, Fresno, CA 93720-3372 | |
| (559) 439-5757 | |
| (559) 437-3943 | 
| Full Name | Mrs Michelle Elizabeth Bergen | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 1275 E Spruce Ave Ste 101, Fresno, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144732017 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95007057 (California) | Primary | 
| Entity Name | Premier Cancer Care And Infusion Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568190064 PECOS PAC ID: 9133591084 Enrollment ID: O20230202001738 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Michelle Elizabeth Bergen, FNP-BC 1275 E Spruce Ave Ste 101, Fresno, CA 93720-3372 Ph: (559) 439-5757 | Mrs Michelle Elizabeth Bergen, FNP-BC 1275 E Spruce Ave Ste 101, Fresno, CA 93720-3372 Ph: (559) 439-5757 | 
| Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838 | |
| Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276 | |
| Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091 | |
| Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373 | |
| Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 | |
| Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 | |
| Irene Moore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720 Phone: 559-326-1222 Fax: 559-326-1230 |