Dr Shannon Berry, MD in Portland, OR - Medicare Emergency Medicine

Dr Shannon Berry, MD is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7500.

Dr Shannon Berry is licensed to practice in Oregon (license number MD173846) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205253267.

Contact Information

	Dr Shannon Berry, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7500
	(503) 494-4997

Map and Direction

Physician's Profile

Full Name	Dr Shannon Berry
Gender	Female
Speciality	Emergency Medicine
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205253267
Provider Enumeration Date: 03/27/2014
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9032338561
Enrollment ID: I20170524002124

Medical Identifiers

Medical identifiers for Dr Shannon Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205253267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD173846 (Oregon)	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. Dr Shannon Berry allows following entities to bill medicare on her behalf.

Entity Name	Columbia Lutheran Charities
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028

Entity Name	Columbia Lutheran Charities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073

Entity Name	Southern Coos Health District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542

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 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 Berry, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8211	Dr Shannon Berry, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7500

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Dr Shannon Berry, MD - Medicare Emergency Medicine in Portland, OR