Grant Wilson Berry, MD is a medicare enrolled "Emergency Medicine" physician in Riverton, Wyoming. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northwest Emergency Physicians Llc and his current practice location is
2100 W Sunset Dr, Riverton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 857-3445.
Grant Wilson Berry is licensed to practice in Wyoming (license number 10598A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174815021.
Physician's Profile
Full Name | Grant Wilson Berry |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 13 Years |
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Location | 2100 W Sunset Dr, Riverton, Wyoming |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Grant Wilson Berry attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2011
NPI Data:
- NPI Number: 1174815021
- Provider Enumeration Date: 05/11/2011
- Last Update Date: 02/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385954783
- Enrollment ID: I20160831002567
Medical Identifiers
Medical identifiers for Grant Wilson Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174815021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD043197 (District Of Columbia) | Secondary |
207P00000X | Emergency Medicine | R5511 (Texas) | Secondary |
207P00000X | Emergency Medicine | 10598A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northwest Emergency Physicians Llc | 3476462334 | 183 |
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. Grant Wilson Berry allows following entities to bill medicare on his behalf.
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20060227000540 |
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Entity Name | Summit Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947 |
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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. Grant Wilson 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 |
Grant Wilson Berry, MD Po Box 1810, Lander, WY 82520-1810 Ph: (307) 206-4172 | Grant Wilson Berry, MD 2100 W Sunset Dr, Riverton, WY 82501-2274 Ph: (307) 857-3445 |
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