Mrs Carolyn L Berry-pettit, CNS is a
Clinical Nurse Specialist - Women's Health based in Portsmouth, Ohio. Mrs Carolyn L Berry-pettit is licensed to practice in Ohio (license number NS01128) and her current practice location is
621 Broadway St, Portsmouth, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 961-4011.
NPI number for Mrs Carolyn L Berry-pettit is 1083669733 and her current mailing address is 941 Market St, Piketon, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083669733.
Provider's Profile
| Full Name | Mrs Carolyn L Berry-pettit |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Women's Health |
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| Location | 621 Broadway St, Portsmouth, Ohio |
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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: 1083669733
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 04/25/2019
Medical Identifiers
Medical identifiers for Mrs Carolyn L Berry-pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083669733 | NPI | - | NPPES |
| 0151259 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SW0102X | Clinical Nurse Specialist - Women's Health | NS01128 (Ohio) | 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. Mrs Carolyn L Berry-pettit 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 |
|---|
Mrs Carolyn L Berry-pettit, CNS
941 Market St,
Piketon, OH 45661-9757
Ph: (740) 289-2371 | Mrs Carolyn L Berry-pettit, CNS
621 Broadway St,
Portsmouth, OH 45662-4788
Ph: (740) 961-4011 |
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