Mrs Kelly Johnson Berry, PT, MPH in Tulsa, OK - Medicare Physical Therapist Provider

Mrs Kelly Johnson Berry, PT, MPH is a medicare enrolled "Physical Therapist" provider in Tulsa, Oklahoma. Her current practice location is 12697 E 51st St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 744-2476.

Mrs Kelly Johnson Berry is licensed to practice in Oklahoma (license number 1968) 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 1144896804.

Contact Information

	Mrs Kelly Johnson Berry, PT, MPH
	12697 E 51st St, Tulsa, OK 74146-6236
	(918) 744-2476
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Johnson Berry
Gender	Female
Speciality	Physical Therapist
Location	12697 E 51st St, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144896804
Provider Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2466837281
Enrollment ID: I20231227002920

Medical Identifiers

Medical identifiers for Mrs Kelly Johnson Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144896804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1968 (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. Mrs Kelly Johnson Berry allows following entities to bill medicare on her behalf.

Provider Name	St John Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867

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 Kelly Johnson 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
Mrs Kelly Johnson Berry, PT, MPH 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-2476	Mrs Kelly Johnson Berry, PT, MPH 12697 E 51st St, Tulsa, OK 74146-6236 Ph: (918) 744-2476

Reviews and Comments

Physical Therapist in Tulsa, OK

Pamela Thacker Kantner, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1471 Fax: 918-494-1494
Mrs. Karen Rae Smith, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8222 S Yale Ave, Tulsa, OK 74137 Phone: 918-493-1200 Fax: 918-752-5343
Laynie Wyrick, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4008 S Yale Ave, Tulsa, OK 74135 Phone: 918-622-4278
Genie Alice Strakal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9175 S Yale Ave, Suite 120, Tulsa, OK 74137 Phone: 918-488-9991 Fax: 918-488-9989
Pamela Guenther, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7112 S Mingo, Suite 108, Tulsa, OK 74133 Phone: 918-250-7093 Fax: 918-250-9976
Driz Rehab Group, Professional Ltd. Co. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7135 S Braden Ave, Tulsa, OK 74136 Phone: 918-384-0088 Fax: 918-384-0044
Johnathan William Barber, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7401 Riverside Pkwy Unit 219, Tulsa, OK 74136 Phone: 918-216-9303

Mrs Kelly Johnson Berry, PT, MPH - Medicare Physical Therapist in Tulsa, OK