| Michael Berry, PA | |
|
811 N Summit St, Crescent City, FL 32112-2191 | |
| (386) 698-2101 | |
| Not Available |
| Full Name | Michael Berry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 811 N Summit St, Crescent City, Florida |
| 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 |
|---|---|---|---|
| 1083601900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2470 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Home Health Care Inc | Starke, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne , FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 74 |
| Entity Name | Roy H Hinman MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Brevard Physician Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Entity Name | Guidewell Emergency Medicine Doctors, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629497235 PECOS PAC ID: 8224352919 Enrollment ID: O20150129001176 |
| Entity Name | Island Doctors Intrastate LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Berry, PA Po Box 2400, Melbourne, FL 32902-2400 Ph: (321) 837-3820 | Michael Berry, PA 811 N Summit St, Crescent City, FL 32112-2191 Ph: (386) 698-2101 |
Patricia Marvin, PA-CMPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 899 N Summit St, Crescent City, FL 32112 Phone: 386-698-1088 |
Mr. Daniel S Kreisman, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 811 N Summit St, Crescent City, FL 32112 Phone: 386-698-2279 Fax: 386-698-2239 |