Johnnie Marie Berry, LCSW is a medicare enrolled "Community/behavioral Health" provider in Yeadon, Pennsylvania. Her current practice location is
852 W Cobbs Creek Pkwy, Yeadon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(609) 568-0760.
Johnnie Marie Berry is licensed to practice in Pennsylvania (license number CW022743) 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 1851794499.
Healthcare Provider's Profile
Full Name | Johnnie Marie Berry |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 852 W Cobbs Creek Pkwy, Yeadon, Pennsylvania |
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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: 1851794499
- Provider Enumeration Date: 09/26/2014
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244614337
- Enrollment ID: I20220909000187
Medical Identifiers
Medical identifiers for Johnnie Marie Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851794499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW022743 (Pennsylvania) | Secondary |
251S00000X | Community/behavioral Health | CW022743 (Pennsylvania) | 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. Johnnie Marie Berry allows following entities to bill medicare on her behalf.
Entity Name | Sayre Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831209113 PECOS PAC ID: 7416955000 Enrollment ID: O20220317002858 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
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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. Johnnie Marie 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 |
Johnnie Marie Berry, LCSW 852 W Cobbs Creek Pkwy, Yeadon, PA 19050-3625 Ph: (609) 568-0760 | Johnnie Marie Berry, LCSW 852 W Cobbs Creek Pkwy, Yeadon, PA 19050-3625 Ph: (609) 568-0760 |
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