James R Berry, MD - Medicare Orthopaedic Surgery in Sandusky, OH

James R Berry, MD is a medicare enrolled "Orthopaedic Surgery" physician in Sandusky, Ohio. His current practice location is 1401 Bone Creek Dr, Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 625-4900.

James R Berry is licensed to practice in Ohio (license number 3542238) 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 1831170778.

Contact Information

James R Berry, MD
1401 Bone Creek Dr,
Sandusky, OH 44870-7267
(419) 625-4900
(419) 621-9768

Map and Direction




Physician's Profile

Full NameJames R Berry
GenderMale
SpecialityOrthopaedic Surgery
Location1401 Bone Creek Dr, Sandusky, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831170778
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 03/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092706069
  • Enrollment ID: I20230123002199

Medical Identifiers

Medical identifiers for James R Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831170778NPI-NPPES
0489109MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 321423 (New York)Secondary
207X00000XOrthopaedic Surgery 3542238 (Ohio)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. James R Berry allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321

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. James R 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 AddressPractice Location Address
James R Berry, MD
1401 Bone Creek Dr,
Sandusky, OH 44870-7267

Ph: (419) 625-4900
James R Berry, MD
1401 Bone Creek Dr,
Sandusky, OH 44870-7267

Ph: (419) 625-4900

Reviews and Comments


Orthopaedic Surgery Doctors in Sandusky, OH

Thomas A Olexa, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-621-9768
Dr. Justin Kelley, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-627-9768
Robert Miller Carlisle Ii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-621-9768
Colleen Ruth Calvey, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-621-9768
Kam M Wong, PHD MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-626-8478
Michael J Felter, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-621-9768
Kevin Bailey, DO
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1401 Bone Creek Dr, Sandusky, OH 44870
Phone: 419-625-4900    Fax: 419-621-9768

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.