| Dr John Nathan Berry, MD | |
|
1207 Chisolm Trl, Centerville, OH 45458-9462 | |
| (210) 262-4993 | |
| Not Available |
| Full Name | Dr John Nathan Berry |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 1207 Chisolm Trl, Centerville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982685848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | N1551 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | N1551 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yukon Kuskokwim Delta Reg Hospital | Bethel, AK | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Avita Ontario | Ontario, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Radiology And Interventional Associates Inc | 8729976964 | 194 |
| Entity Name | Riverside Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20040309000317 |
| Entity Name | Red River Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20170927002189 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Nathan Berry, MD 1207 Chisolm Trl, Centerville, OH 45458-9462 Ph: (210) 262-4993 | Dr John Nathan Berry, MD 1207 Chisolm Trl, Centerville, OH 45458-9462 Ph: (210) 262-4993 |
Dr. David C. Blocker, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 808 E Franklin St, Centerville, OH 45459 Phone: 937-885-2467 |