Jefferson Berryman, | |
9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | |
(952) 888-5800 | |
(952) 567-6156 |
Full Name | Jefferson Berryman |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 9801 Dupont Ave S Ste 200, Bloomington, Minnesota |
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 |
---|---|---|---|
1275995714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 67072 (Minnesota) | Primary |
207WX0009X | Ophthalmology - Glaucoma Specialist | 98709 (Montana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rocky Mountain Eye Center Pc | 7416986542 | 15 |
Entity Name | Rocky Mountain Eye Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740291350 PECOS PAC ID: 7416986542 Enrollment ID: O20050809001023 |
Mailing Address | Practice Location Address |
---|---|
Jefferson Berryman, 700 W Kent Ave, Missoula, MT 59801-6772 Ph: (952) 888-5800 | Jefferson Berryman, 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 Ph: (952) 888-5800 |
Honora E. Kennedy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 | |
Mehdi Roozbahani, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 9801 Dupont Ave S Ste 110, Bloomington, MN 55431 Phone: 612-355-6510 Fax: 612-713-9360 | |
Kaihan Fakhar, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 | |
Elizabeth A Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-884-2656 | |
Jill Suzanne Melicher Larson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, 200, Bloomington, MN 55431 Phone: 952-888-5800 | |
Thomas Lang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 |