Dr Glenn Edward Berry, MD is a medicare enrolled "Internal Medicine" physician in Prairie View, Texas. His current practice location is
Oj Baker At Reda Bland Evans, Prairie View, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 857-2511.
Dr Glenn Edward Berry is licensed to practice in Texas (license number H1689) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962578831.
Physician's Profile
| Full Name | Dr Glenn Edward Berry |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | Oj Baker At Reda Bland Evans, Prairie View, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962578831
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143471508
- Enrollment ID: I20121112000254
Medical Identifiers
Medical identifiers for Dr Glenn Edward Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962578831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | H1689 (Texas) | 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. Dr Glenn Edward Berry allows following entities to bill medicare on his behalf.
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203 |
|---|
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. Dr Glenn Edward 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 |
|---|
Dr Glenn Edward Berry, MD
Po Box 457,
Prairie View, TX 77446-0457
Ph: (936) 857-2511 | Dr Glenn Edward Berry, MD
Oj Baker At Reda Bland Evans,
Prairie View, TX 77446
Ph: (936) 857-2511 |
Reviews and Comments