Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Montana Bergeron, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1295376523

Emily Montana Bergeron, PHYSICIANASSISTANT is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with Ies ER Oklahoma LLC, a 128-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1417 W 78th St Apt 1213
Tulsa, OK 74132-4633
Phone: (918) 955-9302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4722 (OK)

Record details

NPI number1295376523
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedOctober 8, 2019
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

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 Ies Er Oklahoma Llc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients42
Services billed 45 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ies ER Oklahoma LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 128 clinicians in the practice; 12 are shown here.

Other providers in Tulsa