Elisabeth M Berry, is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" provider in Montgomery, Texas. Her current practice location is
750 Fish Creek Thoroughfare, Montgomery, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 272-0790.
Elisabeth M Berry is licensed to practice in Texas (license number 1111342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851584726.
Healthcare Provider's Profile
Full Name | Elisabeth M Berry |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 750 Fish Creek Thoroughfare, Montgomery, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851584726
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173609963
- Enrollment ID: I20170823004231
Medical Identifiers
Medical identifiers for Elisabeth M Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851584726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 007742 (Ohio) | Secondary |
225100000X | Physical Therapist | 61470 (Oregon) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1111342 (Texas) | 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. Elisabeth M 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 |
Elisabeth M Berry, 107 N Concord Valley Cir, Spring, TX 77382-1390 Ph: (937) 344-9549 | Elisabeth M Berry, 750 Fish Creek Thoroughfare, Montgomery, TX 77316-6965 Ph: (936) 272-0790 |
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