Susan Berry, NP is a
Nurse Practitioner based in Halfway, Oregon. Susan Berry is licensed to practice in Oregon (license number 200550175NP) and her current practice location is
218 N Pine Street, Halfway, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 742-5023.
NPI number for Susan Berry is 1861416240 and her current mailing address is Po Box 3397, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861416240.
Provider's Profile
| Full Name | Susan Berry |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
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| Location | 218 N Pine Street, Halfway, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861416240
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 08/30/2018
Medical Identifiers
Medical identifiers for Susan Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861416240 | NPI | - | NPPES |
| 243015 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 200550175NP (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. Susan Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Berry, NP
Po Box 3397,
Portland, OR 97208-3397
Ph: Not Available | Susan Berry, NP
218 N Pine Street,
Halfway, OR 97834
Ph: (541) 742-5023 |
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