Gwen Lea Berry, is a
Registered Nurse - Home Health based in Long Prairie, Minnesota. Gwen Lea Berry is licensed to practice in Minnesota (license number 1402843) and her current practice location is
212 2nd Ave S, Long Prairie, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 732-4500.
NPI number for Gwen Lea Berry is 1497229264 and her current mailing address is 212 2nd Ave S, Long Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497229264.
Provider's Profile
| Full Name | Gwen Lea Berry |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Home Health |
|---|
| Location | 212 2nd Ave S, Long Prairie, Minnesota |
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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: 1497229264
- Provider Enumeration Date: 01/15/2019
- Last Update Date: 01/15/2019
Medical Identifiers
Medical identifiers for Gwen Lea Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497229264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WH0200X | Registered Nurse - Home Health | 1402843 (Minnesota) | 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. Gwen Lea 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 |
|---|
Gwen Lea Berry,
212 2nd Ave S,
Long Prairie, MN 56347-1608
Ph: () - | Gwen Lea Berry,
212 2nd Ave S,
Long Prairie, MN 56347-1608
Ph: (320) 732-4500 |
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