Jeanie Berry

Individual provider Active NPI Case Manager/Care Coordinator · Evansville, IN

NPI 1174717599 · NPPES record last updated Aug 29, 2007

Key facts

NPI
1174717599
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
16 W Virginia St
Evansville, IN 47710-1742
Phone
(812) 464-7816
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Ind Reg Council on Aging Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X IN Yes

Addresses

Primary practice location

16 W Virginia St
Evansville, IN 47710-1742

Mailing address

PO Box 3938
Evansville, IN 47737-3938
Phone (812) 464-7816

Other providers in Evansville, IN

All providers in Evansville, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.