Breanna Rene Berry, DO | |
1338 Phay Ave Bldg D, Canon City, CO 81212-2326 | |
(719) 285-2700 | |
(719) 285-2975 |
Full Name | Breanna Rene Berry |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1338 Phay Ave Bldg D, Canon City, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457615189 | NPI | - | NPPES |
Q5619 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Q5619 (Texas) | Secondary |
207Q00000X | Family Medicine | DR52880 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pueblo Community Health Center Inc. | 4284543802 | 65 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Breanna Rene Berry, DO 1338 Phay Ave Bldg D, Canon City, CO 81212-2326 Ph: (719) 285-2700 | Breanna Rene Berry, DO 1338 Phay Ave Bldg D, Canon City, CO 81212-2326 Ph: (719) 285-2700 |
Ms. Diana Maria Clouthier, MSN, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 | |
Vincent Takwing Yu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2760 Fax: 719-285-2992 | |
Robert Joseph Bennett Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 | |
Dr. Ryan S Rahman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 Macon Ave, Canon City, CO 81212 Phone: 719-285-8890 | |
Kimberly Matz Gugliotto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2000 | |
Dr. Robert D Mccurry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Main St, Canon City, CO 81212 Phone: 719-275-3000 Fax: 719-275-6939 | |
Dr. Marcus A Button, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 |