Suzanne Elizabeth Bergeron, RNCS
Individual provider Active NPI Adult Psychiatric/Mental Health Clinical Nurse Specialist · Bridgewater, MA
NPI 1093020091 · NPPES record last updated Aug 13, 2010
Key facts
- NPI
- 1093020091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X
- License
- RN115664 (MA)
- Practice address
- 2 Administration Rd
Bridgewater, MA 02324-3230 - Phone
- (508) 279-3614
- Fax
- (508) 279-3611
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Commonwealth of Massachusetts
Practice addresses (Care Compare)
165 Quincy St
Brockton, MA 02302-2988
Phone (508) 897-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170225000120 | MA | Practitioner - Nurse Practitioner | 7618251372 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| The Commonwealth of Massachusetts | Current |
Accepting new patients |
Locations
165 Quincy St
Brockton, MA 02302
Phone (508) 897-2000
40 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 732-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN115664 | MA | Yes |
Addresses
Primary practice location
2 Administration Rd
Bridgewater, MA 02324-3230
Mailing address
2 Administration Rd
Bridgewater, MA 02324-3230
Phone (508) 279-3614
Other names
- Ms. Suzanne Elizabeth Bergeron
Other providers in Bridgewater, MA
- Kendra Curran Belken
- Luz Esther Beniquez-Carlson
- Tomiko Bennett
- Amy Buckley Benson
- Brooke Lindsay Berard
- Caroline Bertler
- Beyond Care Therapy LLC
- Bidhin R Patel DMD PC
- Bills Taxi Service Inc.
- Jhilam Biswas
All providers in Bridgewater, MA · Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.