Philip Todd Berry, DO is a medicare enrolled "Family Medicine" physician in Scarbro, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Boone Memorial Hospital Inc and his current practice location is
Rr 2 Box 615a, Scarbro, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 388-2525.
Philip Todd Berry is licensed to practice in West Virginia (license number 2120) 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 1194943522.
Physician's Profile
| Full Name | Philip Todd Berry |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | Rr 2 Box 615a, Scarbro, West Virginia |
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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. |
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Medical Education and Training:
- Philip Todd Berry attended and graduated from West Virginia School Of Osteopathic Medicine in 2004
NPI Data:
- NPI Number: 1194943522
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 12/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 7416030093
- Enrollment ID: I20080206000379
Medical Identifiers
Medical identifiers for Philip Todd Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194943522 | NPI | - | NPPES |
| 0181970 | Medicaid | OH | |
| 3810010455 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2120 (West Virginia) | Primary |
| 207Q00000X | Family Medicine | 34.012389 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boone Memorial Hospital Inc | 3375433352 | 41 |
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. Philip Todd Berry allows following entities to bill medicare on his behalf.
| Entity Name | Boone Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686725
PECOS PAC ID: 3375433352
Enrollment ID: O20051111000050 |
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| Entity Name | Boone Memorial Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1639135221
PECOS PAC ID: 3375433352
Enrollment ID: O20061104000273 |
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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. Philip Todd 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 |
|---|
Philip Todd Berry, DO
Rr 2 Box 615a,
Scarbro, WV 25917-9784
Ph: (304) 388-2525 | Philip Todd Berry, DO
Rr 2 Box 615a,
Scarbro, WV 25917-9784
Ph: (304) 388-2525 |
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