Alicia R Berry-kaho, LPN is a
Licensed Practical Nurse based in Fayette, Mississippi. Alicia R Berry-kaho is licensed to practice in Mississippi (license number 320763) and her current practice location is
90 Avendale Road, Fayette, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 451-5018.
NPI number for Alicia R Berry-kaho is 1629739818 and her current mailing address is Po Box 2252, Fayette, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629739818.
Provider's Profile
| Full Name | Alicia R Berry-kaho |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 90 Avendale Road, Fayette, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629739818
- Provider Enumeration Date: 01/10/2022
- Last Update Date: 01/10/2022
Medical Identifiers
Medical identifiers for Alicia R Berry-kaho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629739818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 320763 (Mississippi) | 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. Alicia R Berry-kaho 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 |
|---|
Alicia R Berry-kaho, LPN
Po Box 2252,
Fayette, MS 39069-2252
Ph: (601) 451-5018 | Alicia R Berry-kaho, LPN
90 Avendale Road,
Fayette, MS 39069
Ph: (601) 451-5018 |
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