Mrs Shannon Lee Jett Berry, MA, CCC-SLP is a
Speech-language Pathologist based in Bushnell, Florida. Mrs Shannon Lee Jett Berry is licensed to practice in Florida (license number SA6623) and her current practice location is
218 N Florida St, Suite 3, Bushnell, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 793-4512.
NPI number for Mrs Shannon Lee Jett Berry is 1922141555 and her current mailing address is 1586 County Road 543a, Sumterville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922141555.
Healthcare Provider's Profile
Full Name | Mrs Shannon Lee Jett Berry |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 218 N Florida St, Bushnell, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922141555
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 04/30/2008
Medical Identifiers
Medical identifiers for Mrs Shannon Lee Jett Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922141555 | NPI | - | NPPES |
887849800 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA6623 (Florida) | 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 Shannon Lee Jett 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 Shannon Lee Jett Berry, MA, CCC-SLP 1586 County Road 543a, Sumterville, FL 33585-5125 Ph: (352) 568-0506 | Mrs Shannon Lee Jett Berry, MA, CCC-SLP 218 N Florida St, Suite 3, Bushnell, FL 33513-6150 Ph: (352) 793-4512 |
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