Mrs Angelic Berry, MED, MS is a
Speech-language Pathologist based in Scott Afb, Illinois. Mrs Angelic Berry is licensed to practice in Illinois (license number 146.010486) and her current practice location is
4732 Patriots Dr, Scott Afb, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 746-4738.
NPI number for Mrs Angelic Berry is 1033530845 and her current mailing address is 4732 Patriots Dr, Scott Afb, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033530845.
Healthcare Provider's Profile
Full Name | Mrs Angelic Berry |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4732 Patriots Dr, Scott Afb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033530845
- Provider Enumeration Date: 12/20/2013
- Last Update Date: 12/20/2013
Medical Identifiers
Medical identifiers for Mrs Angelic Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033530845 | NPI | - | NPPES |
934010 | Other | IL | ILLINOIS STATE BOARD OF EDUCATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.010486 (Illinois) | Primary |
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. Mrs Angelic Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Angelic Berry, MED, MS 4732 Patriots Dr, Scott Afb, IL 62225-1197 Ph: (618) 746-4738 | Mrs Angelic Berry, MED, MS 4732 Patriots Dr, Scott Afb, IL 62225-1197 Ph: (618) 746-4738 |
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