| Leilani Lee Berry, | |
|
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
| (843) 685-6508 | |
| Not Available |
| Full Name | Leilani Lee Berry |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 Singleton Ridge Rd, Conway, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689355414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 238904 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28809 (South Carolina) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Leilani Lee Berry, 45 Sycamore Ave Apt 215, Charleston, SC 29407-6715 Ph: (843) 685-6508 | Leilani Lee Berry, 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 685-6508 |
Mrs. Patty Johnson Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Evan Samuel Culp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8103 | |
Mary M Taylor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 | |
Claudia R Rogers, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 | |
Miss Kathryn Myers Fellner, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Kimberly D Lhuillier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 | |
Ms. Donya T Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 |