Samantha Elizabeth Bergeron

Individual provider Active NPI Case Manager/Care Coordinator · Leicester, MA

NPI 1649026469 · NPPES record last updated Apr 24, 2024

Key facts

NPI
1649026469
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
7 Sunset Dr
Leicester, MA 01524-1709
Phone
(774) 232-1932
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

7 Sunset Dr
Leicester, MA 01524-1709

Mailing address

7 Sunset Dr
Leicester, MA 01524-1709
Phone (774) 232-1932

Other providers in Leicester, MA

All providers in Leicester, MA · Case Manager/Care Coordinator in Massachusetts

Sources for this page

Verify at the official NPI Registry.