Look up the most recent NPI and PECOS records

Mary Jane Berry

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

901 W 38th St Ste 200, Austin, TX 78705-1165

PECOS Enrollment

This provider is enrolled in PECOS as MARY BERRY.

Based on the most recent information from CMS, provider Mary Jane Berry is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1215438452
Provider Type
Individual
Full Name
Berry, Mary Jane
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/22/2018
Last Updated
3/9/2018

Contact Information

Practice Location

901 W 38th St Ste 200, Austin, TX 78705-1165

(512) 421-4100

(512) 451-7380

Mailing Location

PO Box 911230, Dallas, TX 75391-1230

(972) 997-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP136651 Texas

Mary Jane Berry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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