Mr Kevin Berryman, LMHP AND PA is a medicare enrolled "Psychologist - Clinical" provider in Omaha, Nebraska. He graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Therapy Resource Associates Inc and his current practice location is
1941 S 42nd St Ste 328, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 614-8444.
Mr Kevin Berryman is licensed to practice in Nebraska (license number 1068) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194860593.
Healthcare Provider's Profile
| Full Name | Mr Kevin Berryman |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 1941 S 42nd St Ste 328, Omaha, Nebraska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kevin Berryman graduated from medical school in 2019
NPI Data:
- NPI Number: 1194860593
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133509235
- Enrollment ID: I20220707000969
Medical Identifiers
Medical identifiers for Mr Kevin Berryman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194860593 | NPI | - | NPPES |
| 20025660400 | Medicaid | NE | |
| 47037660626 | Medicaid | NE | |
| 47037660631 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 3306 (Nebraska) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1068 (Nebraska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Therapy Resource Associates Inc | 8729971049 | 11 |
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. Mr Kevin Berryman allows following entities to bill medicare on his behalf.
| Entity Name | Therapy Resource Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306872817
PECOS PAC ID: 8729971049
Enrollment ID: O20040202001110 |
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| Entity Name | Capstone Behavioral Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154371748
PECOS PAC ID: 2769578566
Enrollment ID: O20071009000829 |
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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. Mr Kevin Berryman 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 |
|---|
Mr Kevin Berryman, LMHP AND PA
1941 S 42nd St Ste 328,
Omaha, NE 68105-2943
Ph: (402) 614-8444 | Mr Kevin Berryman, LMHP AND PA
1941 S 42nd St Ste 328,
Omaha, NE 68105-2943
Ph: (402) 614-8444 |
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