Dr Shannon Gammill Berry, MD is a medicare enrolled "Emergency Medicine" physician in Coushatta, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Floridian Emergency Specialists Llc and her current practice location is
1635 Marvel St, Coushatta, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 932-2000.
Dr Shannon Gammill Berry is licensed to practice in Louisiana (license number 208173) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770719668.
Physician's Profile
Full Name | Dr Shannon Gammill Berry |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 15 Years |
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Location | 1635 Marvel St, Coushatta, Louisiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Shannon Gammill Berry attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2009
NPI Data:
- NPI Number: 1770719668
- Provider Enumeration Date: 06/05/2009
- Last Update Date: 10/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153477914
- Enrollment ID: I20210820000385
Medical Identifiers
Medical identifiers for Dr Shannon Gammill Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770719668 | NPI | - | NPPES |
2400894 | Medicaid | LA | |
P01575286 | Other | LA | RAILROAD MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | P1727 (Texas) | Secondary |
207P00000X | Emergency Medicine | 208173 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Floridian Emergency Specialists Llc | 3375682891 | 22 |
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. Dr Shannon Gammill Berry allows following entities to bill medicare on her behalf.
Entity Name | Floridian Emergency Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710210695 PECOS PAC ID: 3375682891 Enrollment ID: O20091123000274 |
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Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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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. Dr Shannon Gammill 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 |
Dr Shannon Gammill Berry, MD 1635 Marvel St, Coushatta, LA 71019-9022 Ph: (318) 932-2000 | Dr Shannon Gammill Berry, MD 1635 Marvel St, Coushatta, LA 71019-9022 Ph: (318) 932-2000 |
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