Dr. Lisa Bergersen
MD MPH | Pediatric Cardiology | Female
Dr. Lisa Bergersen, MD MPH is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Lisa Bergersen is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at
617-335-7893.
Dr. Lisa Bergersen is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa Bergersen is
1942299730 which was assigned by NPPES on 14 Oct, 2005 and it was last updated on 21 Nov, 2020.
Dr. Lisa Bergersen license number is
160372 for Pediatrics Pediatric Cardiology (2080P0202X) in Massachusetts.
Dr. Lisa Bergersen provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Lisa Bergersen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Dr. Lisa Bergersen |
|---|
| Credential : | MD MPH |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Lisa Bergersen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
|---|
| Phone Number : | 617-335-7893 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942299730 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 14 Oct, 2005 |
|---|
| Last Updated On : | 21 Nov, 2020 |
|---|
Medicare Participation:
Dr. Lisa Bergersen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2769464171 |
|---|
| Medicare Enrollment ID : | I20040601000935 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University Of Vermont College Of Medicine |
|---|
| Graduation Year : | 1996 |
|---|
| Accepts Medicare? | Yes. Dr. Lisa Bergersen accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Lisa Bergersen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Lisa Bergersen is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Boston Childrens Heart Foundation Inc | 8729071675 | 76 | 300 Longwood Ave
Boston, MA - 021155724
Ph: 6173556000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Bergersen are as mentioned. Primary taxonomy code for Dr. Lisa Bergersen, MD MPH is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RI0011X | Internal Medicine Interventional Cardiology | No | 160372 | MA |
| 208000000X | Pediatrics | No | 160372 | MA |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 160372 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lisa Bergersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2501928 | Other | MA | UNITED HEALTHCARE MA |
| 28244 | Other | MA | BMC HEALTHNET |
| J27337 | Other | MA | BCBS MA |
| J27337 | Other | MA | HMO BLUE |
| 468809 | Other | MA | TUFTS HEALTH PLAN |
| J27337 | Other | MA | BLUE CARE ELECT |
| 2039290 | MEDICAID | MA | |
| 96969201 | Other | MA | NETWORK HEALTH |
| LB54040 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9135, Att:sharon Silva
Brookline, MA, 02446-9135
United States |
|---|
| Phone Number : | 603-890-4404 |
|---|
| Fax Number : | 603-893-8886 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Lisa Bergersen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.