| Ms Bergen Christine Vardell, WHNP, CNM | |
| 
					12174 N Mopac Expy Ste A, Austin, TX 78758-2910  | |
| (512) 994-2662 | |
| (512) 406-6202 | 
| Full Name | Ms Bergen Christine Vardell | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 12174 N Mopac Expy Ste A, Austin, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942359757 | NPI | - | NPPES | 
| 3810023250 | Medicaid | WV | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 31936.1243 (Wyoming) | Secondary | 
| 367A00000X | Advanced Practice Midwife | AP115623 (Texas) | Primary | 
| Entity Name | Obhg Texas Holdings Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Bergen Christine Vardell, WHNP, CNM 4515 Seton Center Pkwy Ste 215, Austin, TX 78759-5785 Ph: () -  | Ms Bergen Christine Vardell, WHNP, CNM 12174 N Mopac Expy Ste A, Austin, TX 78758-2910 Ph: (512) 994-2662  | 
Lisa C Carlile, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 12174 N Mopac Expy, Ste. A, Austin, TX 78758 Phone: 512-994-2662 Fax: 512-994-2660  | |
Caroline Byrd Paganoni, CNM-APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1711 Fortview Rd., Attn: Caroline Paganoni, Austin, TX 78704 Phone: 713-419-8223  | |
Amy Graf, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 W Dean Keeton St, Austin, TX 78712 Phone: 512-491-4955  | |
Dr. Kathryn Irene Newton, APRN CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 201 E Ben White Blvd Ste A, Austin, TX 78704 Phone: 512-276-8000 Fax: 512-441-6189  | |
Mary Claire Duncan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Austin, TX 78705 Phone: 512-324-1000  | |
Jennifer Ann Nash, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 12221 Renfert Way Ste 330, Austin, TX 78758 Phone: 512-425-3825  | |
Hannah Michelle Crement, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-544-7111  |