Charles Mats Berry, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Boston, Massachusetts. His current practice location is
51 Blossom St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 722-3000.
Charles Mats Berry is licensed to practice in Massachusetts (license number RN2264496) 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 1205330578.
Physician's Profile
Full Name | Charles Mats Berry |
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Gender | Male |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 51 Blossom St, Boston, Massachusetts |
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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: 1205330578
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951664077
- Enrollment ID: I20180424000522
Medical Identifiers
Medical identifiers for Charles Mats Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205330578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | RN2264496 (Massachusetts) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | RN2264496 (Massachusetts) | 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. Charles Mats Berry allows following entities to bill medicare on his behalf.
Entity Name | North Shore Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
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Entity Name | The Shriners Hospital For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285078444 PECOS PAC ID: 5496947301 Enrollment ID: O20131219000781 |
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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. Charles Mats 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 |
Charles Mats Berry, NURSE PRACTITIONER 46 Gardner St Apt 2, Chelsea, MA 02150-2129 Ph: (781) 475-3312 | Charles Mats Berry, NURSE PRACTITIONER 51 Blossom St, Boston, MA 02114-2601 Ph: (617) 722-3000 |
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