Raven Berry, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Raven Berry is licensed to practice in * (Not Available) (license number ) and her current practice location is
4609 N Market St, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 626-5462.
NPI number for Raven Berry is 1770942039 and her current mailing address is 4019 Greenwood Rd, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770942039.
Healthcare Provider's Profile
Full Name | Raven Berry |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 4609 N Market St, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770942039
- Provider Enumeration Date: 02/15/2016
- Last Update Date: 06/14/2018
Medical Identifiers
Medical identifiers for Raven Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770942039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Raven Berry 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 |
Raven Berry, 4019 Greenwood Rd, Shreveport, LA 71109-6422 Ph: (318) 626-5462 | Raven Berry, 4609 N Market St, Shreveport, LA 71107 Ph: (318) 626-5462 |
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