Active NPI
Elizabeth C Berry, PA-C
- Physician Assistant
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1461
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-2934
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1461 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
190 Riverside St
Suite 6B
Portland, ME 04103-1073
Phone (207) 661-2000
Other names 1
- Elizabeth Walsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000359 | ME | Practitioner - Physician Assistant | 3971823543 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
5 Bucknam Rd
Falmouth, ME 04105-1209
Hospital & facility affiliations
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Physician Assistant | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Physician Assistant | Current | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
272 Congress St
Portland, ME 04101
Phone (207) 874-2466
190 Riverside St
Unit 6B
Portland, ME 04103
96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- eberry143858@direct.mmc.mainehealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, ME
- NPI 1790976074
Physician Assistant
-
- Pediatric Gastroenterology Physician
- Portland, ME
- NPI 1992719272
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1124433016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 RIVERSIDE ST",
"address_2": "SUITE 6B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031073",
"telephone_number": "207-661-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ELIZABETH",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "WALSH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.