Kenneth P Bergeron (NPI# 1508852187, PAC ID# 5597714618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1508852187 |
| PAC ID by PECOS | 5597714618 |
| Professional Enrollment ID | I20050427001213 |
| Full Name | Kenneth P Bergeron |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF OPELOUSAS, APMC |
| Address |
539 E Prudhomme St Opelousas LA 70570-6499 |
| Phone Number | 3379485120 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8628067709 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 539 E Prudhomme St, Opelousas, LA 70570-6499 | 3379485120 | ANESTHESIA ASSOCIATES OF OPELOUSAS, APMC |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF OPELOUSAS, APMC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy F Leger | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Howard P Suire | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Samuel S Mccaulley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Jacob Duplechain | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Craig Ortego | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Mark Lemaire | Anesthesiology | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Jason P Fontenot | Anesthesiology | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70571-0459 |
| Angela M Hansen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Street Address |
539 E PRUDHOMME ST |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570-6499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig J Frederick | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Robert C Mcreynolds Jr. | Diagnostic Radiology | Radiology Associates of Opelousas, LLP | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Gerard A Ballanco Jr. | Diagnostic Radiology | Radiology Associates of Opelousas, LLP | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Sandy F Leger | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Keteral Ducote | Nurse Practitioner | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Howard P Suire | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Mark F Olivier | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Chester M Dellinger Iii | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Bernard George Boka | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Samuel S Mccaulley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Phillip R Bacilla Jr. | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OPELOUSAS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kenneth P Bergeron.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.