Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Bergeron, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790453652

Mary Bergeron, PA-C is a Physician Assistant in Jefferson, Louisiana. Qualified in 2021, 5 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone: (866) 624-7637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 328650 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (LA)

Record details

NPI number1790453652
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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