Jody Lynn Bergeron | Hammond, LA • PECOS Search

Jody Lynn Bergeron

Case Manager/Care Coordinator

Other Service Providers

44617 S Airport Rd Ste C, Hammond, LA 70403-0324

PECOS Enrollment

Based on the most recent information from CMS, provider Jody Lynn Bergeron does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1902310915
Provider Type
Individual
Full Name
Bergeron, Jody Lynn
Gender
Female

Sole Proprietor
No
Enumeration Date
11/29/2017
Last Updated
11/19/2018

Contact Information

Practice Location

44617 S Airport Rd Ste C, Hammond, LA 70403-0324

Unlisted Fax

Mailing Location

44617 S Airport Rd Ste C, Hammond, LA 70403-0324

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer