Barry Lee Bertolette, NP is a
Psychiatry & Neurology - Psychiatry based in Shelby, North Carolina. Barry Lee Bertolette is licensed to practice in North Carolina (license number 201451) and his current practice location is
618 North Morgan Street, Shelby, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 480-1882.
NPI number for Barry Lee Bertolette is 1407848864 and his current mailing address is Po Box 1418, Shelby, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407848864.
Provider's Profile
| Full Name | Barry Lee Bertolette |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 618 North Morgan Street, Shelby, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407848864
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 06/26/2009
Medical Identifiers
Medical identifiers for Barry Lee Bertolette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407848864 | NPI | - | NPPES |
| 6605025 | Medicaid | NC | |
| 89014FP | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201451 (North Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 201451 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 201451 (North Carolina) | 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. Barry Lee Bertolette 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 |
|---|
Barry Lee Bertolette, NP
Po Box 1418,
Shelby, NC 28151-1418
Ph: (704) 480-1882 | Barry Lee Bertolette, NP
618 North Morgan Street,
Shelby, NC 28150-4439
Ph: (704) 480-1882 |
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