Mike Douglas Berry, FNP | |
888 Swift Blvd, Richland, WA 99352-3514 | |
(509) 946-4611 | |
Not Available |
Full Name | Mike Douglas Berry |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 888 Swift Blvd, Richland, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912368234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 177890 (Montana) | Secondary |
363L00000X | Nurse Practitioner | AP60610441 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pioneer Medical Center | Big timber, MT | Hospital |
Trinity Hospital | Wolf point, MT | Hospital |
St Joseph Hospital | Bellingham, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Physician Associates Pc | 4183523806 | 13 |
Pioneer Medical Center | 6507159514 | 9 |
Entity Name | Northwest Physician Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
Entity Name | North Sound Emergency Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114937919 PECOS PAC ID: 5496646754 Enrollment ID: O20040324000729 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Mike Douglas Berry, FNP 505 S 336th St Ste 350, Federal Way, WA 98003-5948 Ph: (253) 733-3969 | Mike Douglas Berry, FNP 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611 |
Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490 | |
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493 | |
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097 | |
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648 | |
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707 | |
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007 | |
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887 |