| Berry Personalized Primary Care Llc | |
|
704 Main St Gatesville NC 27938-9420 | |
| (252) 260-1569 | |
| Not Available |
| Full Name | Berry Personalized Primary Care Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 704 Main St, Gatesville, North Carolina |
| Authorized Official Name and Position | Mary Berry (AGNP/OWNER) |
| Authorized Official Contact | 7576182545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berry Personalized Primary Care Llc 106 Paige Riddick Rd Gates NC 27937-9595 Ph: (757) 618-2545 | Berry Personalized Primary Care Llc 704 Main St Gatesville NC 27938-9420 Ph: (252) 260-1569 |
| NPI Number | 1326748815 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 07/26/2023 |
| Medicare PECOS PAC ID | 2365808128 |
|---|---|
| Medicare Enrollment ID | O20230519002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326748815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Mary Anne Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578125019 PECOS PAC ID: 1153651393 Enrollment ID: I20191001001781 |
Adolescent Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Us Highway 158 W, Gatesville, NC 27938 Phone: 252-357-1244 Fax: 252-357-1690 | |
Gateway Community Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Gatesville, NC 27938 Phone: 252-357-1226 Fax: 252-357-1236 | |
Gateway Community Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Gatesville, NC 27938 Phone: 252-357-1226 | |
Gateway Chc, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 88 Us Hwy 158 W, Gatesville, NC 27938 Phone: 252-506-7000 Fax: 252-357-1236 | |
Gateway Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Main St, Gatesville, NC 27938 Phone: 252-506-7000 Fax: 252-357-1236 | |
Gates County Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Gatesville, NC 27938 Phone: 252-357-1226 Fax: 252-357-1236 |