ALIZABETH BERRY PA-C
NPI 1699130112
Physician Assistant - Medical in Philadelphia, PA

Active since December 28, 2015PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2018, Dec 28, 2015 (2 updates tracked since 2015).

About Alizabeth Berry Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIZABETH BERRY PA-C (NPI 1699130112) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA058039) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699130112
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALIZABETH BERRYCredential: PA-C
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address925 Chestnut St Ste 320aPhiladelphia, PA 19107-4216 · (215) 955-8874 · Fax (215) 955-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 28, 2015
Last NPPES UpdateDecember 14, 20182 updates tracked since enumeration
NPI 1699130112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA058039
111 S 11TH ST, Philadelphia, PA 19107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alizabeth Berry Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739425265
PECOS Enrollment IDI20190103003260
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
111 S 11TH ST, SUITE 1950 GIBBON
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
111 S 11TH ST, SUITE 4240
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST
PHILADELPHIA, PA 19107
Emergency Medicine
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699130112, enumerated as an "individual" on December 28, 2015.

The provider is located at 111 S 11TH ST PHILADELPHIA, PA 19107 and the phone number is (215) 955-6000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Alizabeth Berry is affiliated with: THOMAS JEFFERSON UNIVERSITY HOSPITAL.