Timothy Patrick Berry Jr, is a
Student In An Organized Health Care Education/training Program based in Pleasant Prairie, Wisconsin. Timothy Patrick Berry Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
9555 76th St, Pleasant Prairie, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 577-8000.
NPI number for Timothy Patrick Berry Jr is 1366332041 and his current mailing address is 3300 99th St, Pleasant Prairie, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366332041.
Provider's Profile
| Full Name | Timothy Patrick Berry Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9555 76th St, Pleasant Prairie, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366332041
- Provider Enumeration Date: 07/05/2025
- Last Update Date: 07/15/2025
Medical Identifiers
Medical identifiers for Timothy Patrick Berry Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366332041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Timothy Patrick Berry Jr 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 |
|---|
Timothy Patrick Berry Jr,
3300 99th St,
Pleasant Prairie, WI 53158-4014
Ph: (262) 748-8535 | Timothy Patrick Berry Jr,
9555 76th St,
Pleasant Prairie, WI 53158-1984
Ph: (262) 577-8000 |
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