Dalton Berry, is a
Physical Medicine & Rehabilitation physician based in Bardstown, Kentucky. Dalton Berry is licensed to practice in Kentucky (license number 008445) and his current practice location is 120 Life Care Way, Bardstown, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 348-4220.
NPI number for Dalton Berry is 1962161596 and his current mailing address is 120 Life Care Way, Bardstown, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962161596.
Physician's Profile
| Full Name | Dalton Berry |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 120 Life Care Way, Bardstown, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962161596
- Provider Enumeration Date: 12/10/2021
- Last Update Date: 12/10/2021
Medical Identifiers
Medical identifiers for Dalton Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962161596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 008445 (Kentucky) | 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. Dalton 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 |
|---|
Dalton Berry,
120 Life Care Way,
Bardstown, KY 40004-2059
Ph: () - | Dalton Berry,
120 Life Care Way,
Bardstown, KY 40004-2059
Ph: (502) 348-4220 |
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