Breanna Rene Berry, DO - Medicare Family Practice in Canon City, CO

Breanna Rene Berry, DO is a medicare enrolled "Family Medicine" physician in Canon City, Colorado. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pueblo Community Health Center Inc. and her current practice location is 1338 Phay Ave Bldg D, Canon City, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 285-2700.

Breanna Rene Berry is licensed to practice in Colorado (license number DR52880) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457615189.

Contact Information

Breanna Rene Berry, DO
1338 Phay Ave Bldg D,
Canon City, CO 81212-2326
(719) 285-2700
(719) 285-2975



Physician's Profile

Full NameBreanna Rene Berry
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location1338 Phay Ave Bldg D, Canon City, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Breanna Rene Berry graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1457615189
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 06/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284876491
  • Enrollment ID: I20180625002178

Medical Identifiers

Medical identifiers for Breanna Rene Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457615189NPI-NPPES
Q5619OtherTXSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine Q5619 (Texas)Secondary
207Q00000XFamily Medicine DR52880 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pueblo Community Health Center Inc.428454380265

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Breanna Rene Berry allows following entities to bill medicare on her behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

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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. Breanna Rene Berry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breanna Rene Berry, DO
1338 Phay Ave Bldg D,
Canon City, CO 81212-2326

Ph: (719) 285-2700
Breanna Rene Berry, DO
1338 Phay Ave Bldg D,
Canon City, CO 81212-2326

Ph: (719) 285-2700

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Family Medicine Doctors in Canon City, CO

Ms. Diana Maria Clouthier, MSN, APRN, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 715 S 9th St, Canon City, CO 81212
Phone: 719-269-8820    
Vincent Takwing Yu, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1338 Phay Ave, Canon City, CO 81212
Phone: 719-285-2760    Fax: 719-285-2992
Robert Joseph Bennett Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 602 Yale Pl, Canon City, CO 81212
Phone: 719-275-2301    Fax: 719-275-7048
Dr. Ryan S Rahman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 712 Macon Ave, Canon City, CO 81212
Phone: 719-285-8890    
Kimberly Matz Gugliotto, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1338 Phay Ave, Canon City, CO 81212
Phone: 719-285-2000    
Dr. Robert D Mccurry, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1210 Main St, Canon City, CO 81212
Phone: 719-275-3000    Fax: 719-275-6939
Dr. Marcus A Button, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 S 9th St, Canon City, CO 81212
Phone: 719-269-8820    Fax: 719-204-0230

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