Mary A Mioux Berry, DO | |
630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | |
(626) 403-1444 | |
(626) 403-1448 |
Full Name | Mary A Mioux Berry |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 36 Years |
Location | 630 S Raymond Ave, Pasadena, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023014750 | NPI | - | NPPES |
250004104 | Other | IL | RAILROAD MEDICAID |
0006005217 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 036084547 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 20A8359 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - Illinois Snf Llp | 8022306737 | 7 |
Entity Name | Cep America - Illinois Snf Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
Mailing Address | Practice Location Address |
---|---|
Mary A Mioux Berry, DO 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 Ph: (626) 403-1444 | Mary A Mioux Berry, DO 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 Ph: (626) 403-1444 |
Dr. Sunil Kumar Hegde, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 630 S. Raymond Ave., Suite #120, Pasadena, CA 91105 Phone: 626-403-1444 Fax: 626-403-1448 | |
Mauro Walsh Zappaterra, MD, PHD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1035 S Fair Oaks Ave Ste 103, Institute For Regenerative Medicine & Clinical Research, Pasadena, CA 91105 Phone: 626-799-2562 | |
Dr. Naveed M Natanzi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Synovation Medical Group, 1017 S. Fair Oaks Avenue, Pasadena, CA 91105 Phone: 626-403-6200 | |
Dr. Ryan Mattie, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1017 S Fair Oaks Ave, Pasadena, CA 91105 Phone: 626-403-6200 Fax: 626-403-2580 | |
Dr. Christopher Tri Bui, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 960 E Green St Ste L-07, Pasadena, CA 91106 Phone: 626-244-7786 Fax: 317-647-4371 | |
Dr. Mark Douglas Bernhard, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1060 E Green St, #107, Pasadena, CA 91106 Phone: 626-584-1112 |