| Dr Zachary Michael Berry, MD | |
|
3201 W Gore Blvd, Suite 104, Lawton, OK 73505 | |
| (580) 250-6659 | |
| (580) 250-5249 |
| Full Name | Dr Zachary Michael Berry |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 21 Years |
| Location | 3201 W Gore Blvd, Lawton, Oklahoma |
| 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 |
|---|---|---|---|
| 1811155666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 27238 (Oklahoma) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | R1197 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comanche County Healthcare Corporation | 0749192433 | 123 |
| Entity Name | Comanche County Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Michael Berry, MD Po Box 785, Lawton, OK 73502-0785 Ph: (580) 357-9984 | Dr Zachary Michael Berry, MD 3201 W Gore Blvd, Suite 104, Lawton, OK 73505 Ph: (580) 250-6659 |
Sandra Jean Koch, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 233 Valleyview Dr, Lawton, OK 73507 Phone: 580-529-2355 | |
Tina C Small, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5109 W Gore Blvd, Lawton, OK 73505 Phone: 580-699-2495 Fax: 580-699-2515 | |
Gregory D Powell, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 104, Lawton, OK 73505 Phone: 580-250-6659 Fax: 580-250-5249 |