Mrs Takedria Mingo-berry, FNP-BC is a medicare enrolled "Nurse Practitioner" physician in Novi, Michigan. Her current practice location is
41800 W 11 Mile Rd Ste 109751, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(240) 660-1220.
Mrs Takedria Mingo-berry is licensed to practice in Missouri (license number 2018035915) 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 1255816591.
Physician's Profile
Full Name | Mrs Takedria Mingo-berry |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 41800 W 11 Mile Rd Ste 109751, Novi, Michigan |
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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:
- Mrs Takedria Mingo-berry attended and graduated from in
NPI Data:
- NPI Number: 1255816591
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Takedria Mingo-berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255816591 | NPI | - | NPPES |
1255816591 | Other | MO | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2011034040 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2018035915 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2018035915 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 53-81402-052 (Kansas) | Secondary |
363L00000X | Nurse Practitioner | 2018035915 (Missouri) | 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 Takedria Mingo-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 |
Mrs Takedria Mingo-berry, FNP-BC 18006 E Union School Rd, Independence, MO 64058-1975 Ph: (816) 217-7659 | Mrs Takedria Mingo-berry, FNP-BC 41800 W 11 Mile Rd Ste 109751, Novi, MI 48375-1872 Ph: (240) 660-1220 |
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