Glenn Berry, in Ada, OK - Medicare Physical Therapist Provider

Glenn Berry, is a medicare enrolled "Physical Therapist" provider in Ada, Oklahoma. His current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 436-3980.

Glenn Berry is licensed to practice in Oklahoma (license number 4288) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376878108.

Contact Information

	Glenn Berry,
	1921 Stonecipher Blvd, Ada, OK 74820
	(580) 436-3980
	(580) 421-6283

Map and Direction

Healthcare Provider's Profile

Full Name	Glenn Berry
Gender	Male
Speciality	Physical Therapist
Location	1921 Stonecipher Blvd, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376878108
Provider Enumeration Date: 10/13/2009
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 4082976030
Enrollment ID: I20180403000548

Medical Identifiers

Medical identifiers for Glenn Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376878108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2009025549 (Missouri)	Secondary
225100000X	Physical Therapist	4288 (Oklahoma)	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. Glenn Berry allows following entities to bill medicare on his behalf.

Provider Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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. Glenn 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
Glenn Berry, 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 436-3980	Glenn Berry, 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 436-3980

Reviews and Comments

Physical Therapist in Ada, OK

Daniel J Allman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283
Mr. Timothy Ryan Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-310-5687 Fax: 580-421-6283
Lindsy Wells, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570
Craig Stewart, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283
Adam Carter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635
Therapy In Motion Of Oklahoma Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 N Monte Vista St, Ada, OK 74820 Phone: 580-436-3633 Fax: 580-436-2977
Clayton Lent, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635

Glenn Berry, - Medicare Physical Therapist in Ada, OK