Mrs Kacie Lauren Blackwell Berry, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rogue River, Oregon. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
213 E Main St, Rogue River, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 714-5610.
Mrs Kacie Lauren Blackwell Berry is licensed to practice in Oregon (license number 10030427) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225675218.
Provider's Profile
| Full Name | Mrs Kacie Lauren Blackwell Berry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 213 E Main St, Rogue River, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kacie Lauren Blackwell Berry graduated from nursing school in 2021
NPI Data:
- NPI Number: 1225675218
- Provider Enumeration Date: 12/09/2019
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496132227
- Enrollment ID: I20251121004135
Medical Identifiers
Medical identifiers for Mrs Kacie Lauren Blackwell Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225675218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10030427 (Oregon) | Primary |
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. Mrs Kacie Lauren Blackwell 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 |
Mrs Kacie Lauren Blackwell Berry, NP 213 E Main St, Rogue River, OR 97537-9100 Ph: (541) 714-5610 | Mrs Kacie Lauren Blackwell Berry, NP 213 E Main St, Rogue River, OR 97537-9100 Ph: (541) 714-5610 |
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