| Dr Susan Amelia Berry, MD | |
|
University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | |
| (612) 626-6777 | |
| Not Available |
| Full Name | Dr Susan Amelia Berry |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 48 Years |
| Location | University Of Minnesota Physicians, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1982640264 | NPI | - | NPPES |
| 666773200 | Medicaid | MN | |
| 24479 | Other | MN | ARAZ |
| 0052275 | Medicaid | MT | |
| 12-24753 | Other | MN | MEDICA CHOICE |
| 1270280 | Other | MN | MEDICA PRIMARY |
| 41184394337 | Medicaid | NE | |
| 30580800 | Medicaid | WI | |
| 1010201 | Other | MN | PREFERRED ONE |
| 1990358 | Medicaid | IA | |
| 100978 | Other | MN | UCARE |
| 2T262BE | Other | MN | BCBS |
| HP12898 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 26368 (Minnesota) | Primary |
| 208000000X | Pediatrics | 26368 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1946 |
| University Of Minnesota Health Clinics And Surgery Center Inc | 9133423304 | 612 |
| Entity Name | University of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University of Minnesota Health Clinics and Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Amelia Berry, MD University Of Minnesota Physicians, 420 Delaware Street Se, Mmc 75, Minneapolis, MN 55455 Ph: (612) 624-5965 | Dr Susan Amelia Berry, MD University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Ph: (612) 626-6777 |