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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: August 16, 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
Phone(215) 955-6000
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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.

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alizabeth Berry's NPI number?

The NPI number for Alizabeth Berry is 1699130112. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Alizabeth Berry located?

Alizabeth Berry practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Alizabeth Berry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alizabeth Berry enrolled in Medicare?

Yes. Alizabeth Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alizabeth Berry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alizabeth Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alizabeth Berry affiliated with any hospitals?

According to CMS data, Alizabeth Berry is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Alizabeth Berry was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.