Hazel Berry, in Brookings, OR - Medicare Counselor Provider

Hazel Berry, is a medicare enrolled "Counselor - Mental Health" provider in Brookings, Oregon. Her current practice location is 412 Alder St, Brookings, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 813-2535.

Hazel Berry is licensed to practice in Oregon (license number C3692/ACTIVE) 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 1184017444.

Contact Information

	Hazel Berry,
	412 Alder St, Brookings, OR 97415-9014
	(541) 813-2535
	(541) 813-2536

Map and Direction

Healthcare Provider's Profile

Full Name	Hazel Berry
Gender	Female
Speciality	Counselor - Mental Health
Location	412 Alder St, Brookings, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184017444
Provider Enumeration Date: 03/11/2015
Last Update Date: 03/11/2015

Medicare PECOS Information:

PECOS PAC ID: 2163870338
Enrollment ID: I20231128003392

Medical Identifiers

Medical identifiers for Hazel Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184017444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C3692/ACTIVE (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hazel Berry allows following entities to bill medicare on her behalf.

Entity Name	Adapt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327

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. Hazel 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
Hazel Berry, 94235 Moore St Ste 121, Gold Beach, OR 97444-9704 Ph: (541) 813-2535	Hazel Berry, 412 Alder St, Brookings, OR 97415-9014 Ph: (541) 813-2535

Reviews and Comments

Counselor in Brookings, OR

Ms. Andrea Roberta Del Grande, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228
Tenea Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-469-9299 Fax: 541-247-6549
Lance Salcido, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228
Jennifer Dawn Eichlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-708-9581
Sandie Louise Mccracken, CADC II, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St # 300, Brookings, OR 97415 Phone: 877-408-8941
Teresa Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228
Victoria Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228

Hazel Berry, - Medicare Counselor in Brookings, OR