Mr Kent Berry, PHD | |
8424 Naab Road Building 1, Suite 1l, Indianapolis, IN 46260 | |
(317) 338-7780 | |
Not Available |
Full Name | Mr Kent Berry |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 12 Years |
Location | 8424 Naab Road Building 1, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730510686 | NPI | - | NPPES |
200077810A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20042675A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Mr Kent Berry, PHD 8424 Naab Road Building 1, Suite 1l, Indianapolis, IN 46260-1954 Ph: (317) 338-7780 | Mr Kent Berry, PHD 8424 Naab Road Building 1, Suite 1l, Indianapolis, IN 46260 Ph: (317) 338-7780 |
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