Medberry Health Pllc | |
4749 Fredericksburg Rd Ste A San Antonio TX 78229-4465 | |
(210) 997-8630 | |
Not Available |
Full Name | Medberry Health Pllc |
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Speciality | General Practice |
Location | 4749 Fredericksburg Rd Ste A, San Antonio, Texas |
Authorized Official Name and Position | Luke Berry (OWNER) |
Authorized Official Contact | 2109978630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medberry Health Pllc 4749 Fredericksburg Rd Ste A San Antonio TX 78229-4465 Ph: () - | Medberry Health Pllc 4749 Fredericksburg Rd Ste A San Antonio TX 78229-4465 Ph: (210) 997-8630 |
NPI Number | 1487301867 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 01/31/2023 |
Medicare PECOS PAC ID | 0244627099 |
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Medicare Enrollment ID | O20220715000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487301867 | NPI | - | NPPES |
Provider Name | Shelly R Russeff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053710053 PECOS PAC ID: 9638488430 Enrollment ID: I20151019000323 |
Provider Name | Nicholas Edward O'bright |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760725584 PECOS PAC ID: 2163731621 Enrollment ID: I20151023000027 |
Provider Name | Jennifer Laine Mccammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043876071 PECOS PAC ID: 7214266196 Enrollment ID: I20210729003692 |
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