Devoria Keaton Berry, in Whiteville, NC - Medicare Counselor Provider

Devoria Keaton Berry, is a medicare enrolled "Counselor - Mental Health" provider in Whiteville, North Carolina. Her current practice location is 817b S Madison St, Whiteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 207-6761.

Devoria Keaton Berry is licensed to practice in North Carolina (license number P010377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942672761.

Contact Information

	Devoria Keaton Berry,
	817b S Madison St, Whiteville, NC 28472-4613
	(910) 207-6761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Devoria Keaton Berry
Gender	Female
Speciality	Counselor - Mental Health
Location	817b S Madison St, Whiteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942672761
Provider Enumeration Date: 10/21/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0042491185
Enrollment ID: I20180906000241

Medical Identifiers

Medical identifiers for Devoria Keaton Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942672761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAS-21951 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	P010377 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Devoria Keaton Berry allows following entities to bill medicare on her behalf.

Entity Name	Community Support Agency, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447393020 PECOS PAC ID: 5294916730 Enrollment ID: O20110216001043

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devoria Keaton Berry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Devoria Keaton Berry, 44 Dream Ave, Delco, NC 28436-8700 Ph: (910) 655-0698	Devoria Keaton Berry, 817b S Madison St, Whiteville, NC 28472-4613 Ph: (910) 207-6761

Reviews and Comments

Counselor in Whiteville, NC

Constance Whittington, MA HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Townhouse Dr Apt C, Whiteville, NC 28472 Phone: 910-489-9409
Lisa Brown, LCAS, LCMHC-A, RDT Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Jefferson St Ste 114, Whiteville, NC 28472 Phone: 910-642-3598
Ms. Gale H. Cummings, MA, MFT, PLCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1409 Pinckney St, Whiteville, NC 28472 Phone: 910-641-0600 Fax: 910-641-0606
Mrs. Mary Mac Goldston, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 Pecan Ln, Whiteville, NC 28472 Phone: 910-640-2021 Fax: 910-642-3944
Ethel Dolores Warner, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Walter St, Whiteville, NC 28472 Phone: 910-640-2724 Fax: 910-640-3474
Shenicka K. Banks, MSW, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 S Lee St # 1434, Whiteville, NC 28472 Phone: 910-317-0646
Ms. Heidi Yvette Herring, LPC, NCC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Bitmore Rd, Whiteville, NC 28472 Phone: 910-640-1830 Fax: 910-640-1854

Devoria Keaton Berry, - Medicare Counselor in Whiteville, NC