Jessica M Berry, APRN is a medicare enrolled "Nurse Practitioner - Family" in Kensett, Arkansas. Her current practice location is
606 W Wilbur Mills Ave, Kensett, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 742-5697.
Jessica M Berry is licensed to practice in Arkansas (license number A005714) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376020917.
Provider's Profile
| Full Name | Jessica M Berry |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 606 W Wilbur Mills Ave, Kensett, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376020917
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 07/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911257001
- Enrollment ID: I20180911003146
Medical Identifiers
Medical identifiers for Jessica M Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376020917 | NPI | - | NPPES |
| 229452758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A005714 (Arkansas) | Primary |
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. Jessica M Berry allows following entities to bill medicare on her behalf.
| Entity Name | Midsouth Transitions Arkansas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003427873
PECOS PAC ID: 1153731005
Enrollment ID: O20201103002747 |
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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. Jessica M 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 |
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Jessica M Berry, APRN
Po Box 497,
Augusta, AR 72006-0497
Ph: (870) 347-2534 | Jessica M Berry, APRN
606 W Wilbur Mills Ave,
Kensett, AR 72082-9051
Ph: (501) 742-5697 |
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