Jonathan R Berry, MD is a medicare enrolled "Orthopaedic Surgery" physician in Muskego, Wisconsin. His current practice location is
S74 W16775 Janesville Rd., Muskego, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 422-2180.
Jonathan R Berry is licensed to practice in Wisconsin (license number 30106) 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 1952480824.
Physician's Profile
| Full Name | Jonathan R Berry |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | S74 W16775 Janesville Rd., Muskego, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952480824
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395637219
- Enrollment ID: I20040326000094
Medical Identifiers
Medical identifiers for Jonathan R Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952480824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 4301049407 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 30106 (Wisconsin) | 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. Jonathan R Berry allows following entities to bill medicare on his behalf.
| Entity Name | Lakeshore Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
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| Entity Name | Aurora Advanced Healthcare, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
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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. Jonathan 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 Address | Practice Location Address |
Jonathan R Berry, MD 100-15th Ave., Ste #180, South Milwaukee, WI 53172-1160 Ph: (414) 422-2120 | Jonathan R Berry, MD S74 W16775 Janesville Rd., Muskego, WI 53150-7742 Ph: (414) 422-2180 |
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