Bruce Berry, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Greeneville, Tennessee. His current practice location is
1021 Coolidge St, Suite 4, Greeneville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 636-8891.
Bruce Berry is licensed to practice in Tennessee (license number 18527) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740293596.
Physician's Profile
| Full Name | Bruce Berry |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1021 Coolidge St, Greeneville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740293596
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 06/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 9739253394
- Enrollment ID: I20080731000330
Medical Identifiers
Medical identifiers for Bruce Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740293596 | NPI | - | NPPES |
| 1509400 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 28732 (North Carolina) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 18527 (Tennessee) | 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. Bruce Berry allows following entities to bill medicare on his behalf.
| Entity Name | Takoma Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699819003
PECOS PAC ID: 8729189295
Enrollment ID: O20070727000394 |
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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. Bruce 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 |
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Bruce Berry, MD
Po Box 37087,
Balitmore, TN 21297-3087
Ph: (828) 687-5616 | Bruce Berry, MD
1021 Coolidge St, Suite 4,
Greeneville, TN 37743-5986
Ph: (423) 636-8891 |
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