Dr Leandra Nicole Berry, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Houston, Texas. Her current practice location is
6701 Fannin St, Suite 1630, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 822-3926.
Dr Leandra Nicole Berry is licensed to practice in Pennsylvania (license number PS017038) 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 1669503843.
Healthcare Provider's Profile
| Full Name | Dr Leandra Nicole Berry |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 6701 Fannin St, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669503843
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 04/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 8729238670
- Enrollment ID: I20121030000446
Medical Identifiers
Medical identifiers for Dr Leandra Nicole Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669503843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS017038 (Pennsylvania) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS017038 (Pennsylvania) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PS017038 (Pennsylvania) | Secondary |
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. Dr Leandra Nicole Berry allows following entities to bill medicare on her behalf.
| Entity Name | Texas Childrens Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209 |
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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. Dr Leandra Nicole 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 |
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Dr Leandra Nicole Berry, PHD
6701 Fannin St, Suite 1630,
Houston, TX 77030-2608
Ph: (832) 822-3926 | Dr Leandra Nicole Berry, PHD
6701 Fannin St, Suite 1630,
Houston, TX 77030-2608
Ph: (832) 822-3926 |
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