Stuart Holland Berryman, PA-C - Medicare Physician Assistant in Peoria, IL

Stuart Holland Berryman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Peoria, Illinois. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Soderstrom Dermatology Center S C., Soderstrom Dermatology Center S C. and his current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 674-7546.

Stuart Holland Berryman is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093774705.

Contact Information

Stuart Holland Berryman, PA-C
4909 N Glen Park Place Rd,
Peoria, IL 61614-4676
(309) 674-7546
(309) 282-0500

Map and Direction




Provider's Profile

Full NameStuart Holland Berryman
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stuart Holland Berryman graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1093774705
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759470529
  • Enrollment ID: I20071130000507

Medical Identifiers

Medical identifiers for Stuart Holland Berryman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093774705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Soderstrom Dermatology Center S C.206243265128
Soderstrom Dermatology Center S C.206243265128

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. Stuart Holland Berryman 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
Stuart Holland Berryman, PA-C
4909 N Glen Park Place Rd,
Peoria, IL 61614-4676

Ph: (309) 674-7546
Stuart Holland Berryman, PA-C
4909 N Glen Park Place Rd,
Peoria, IL 61614-4676

Ph: (309) 674-7546

Reviews and Comments


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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.