| Berkley Wellness Llc | |
|
102 E 6th St Breckenridge TX 76424-5639 | |
| (254) 212-8014 | |
| (254) 212-8006 |
| Full Name | Berkley Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 E 6th St, Breckenridge, Texas |
| Authorized Official Name and Position | Cortney Berkley (OWNER) |
| Authorized Official Contact | 2542128014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkley Wellness Llc 102 E 6th St Breckenridge TX 76424-5639 Ph: (254) 212-8014 | Berkley Wellness Llc 102 E 6th St Breckenridge TX 76424-5639 Ph: (254) 212-8014 |
| NPI Number | 1346099074 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 2466997598 |
|---|---|
| Medicare Enrollment ID | O20240713000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346099074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Cortney Rachelle Berkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629447859 PECOS PAC ID: 3577868678 Enrollment ID: I20160229000384 |
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