Mrs Lisa Michelle Berry, FNP-BC is a
Family Medicine physician based in Manorville, New York. Mrs Lisa Michelle Berry is licensed to practice in New York (license number 351231) and her current practice location is 22 Diane Dr, Manorville, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 793-0587.
NPI number for Mrs Lisa Michelle Berry is 1144007279 and her current mailing address is 22 Diane Dr, Manorville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144007279.
Physician's Profile
Full Name | Mrs Lisa Michelle Berry |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 22 Diane Dr, Manorville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144007279
- Provider Enumeration Date: 09/12/2023
- Last Update Date: 09/12/2023
Medical Identifiers
Medical identifiers for Mrs Lisa Michelle Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144007279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 351231 (New York) | 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. Mrs Lisa Michelle 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 |
Mrs Lisa Michelle Berry, FNP-BC 22 Diane Dr, Manorville, NY 11949-3033 Ph: (631) 793-0587 | Mrs Lisa Michelle Berry, FNP-BC 22 Diane Dr, Manorville, NY 11949-3033 Ph: (631) 793-0587 |
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