Jewish Family & Community Services East Bay - Medicare Mental Health Clinic in Berkeley, CA

Jewish Family & Community Services East Bay is a medicare enrolled mental health clinic (Community/behavioral Health) in Berkeley, California. The current practice location for Jewish Family & Community Services East Bay is 2484 Shattuck Ave, 210, Berkeley, California. For appointments, you can reach them via phone at (510) 704-0747. The mailing address for Jewish Family & Community Services East Bay is 2484 Shattuck Ave, Suite 210, Berkeley, California and phone number is (510) 704-7475.

Jewish Family & Community Services East Bay is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043252661. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (510) 704-0747.

Contact Information

Jewish Family & Community Services East Bay
2484 Shattuck Ave
210
Berkeley
CA 94704-2076
(510) 704-0747
(510) 704-7494

Mental Health Clinic Profile

Full NameJewish Family & Community Services East Bay
SpecialityCommunity/Behavioral Health
Location2484 Shattuck Ave, Berkeley, California
Authorized Official Name and PositionCarlee St. Julien (BILLING MANAGER)
Authorized Official Contact5107047475
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jewish Family & Community Services East Bay
2484 Shattuck Ave
Suite 210
Berkeley
CA 94706-2076

Ph: (510) 704-7475
Jewish Family & Community Services East Bay
2484 Shattuck Ave
210
Berkeley
CA 94704-2076

Ph: (510) 704-0747

NPI Details:

NPI Number1043252661
Provider Enumeration Date06/11/2006
Last Update Date07/15/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0345291225
Medicare Enrollment IDO20071227000475

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Medical Identifiers

Medical identifiers for Jewish Family & Community Services East Bay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043252661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health ZZZ15557Z (California)Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jewish Family & Community Services East Bay acts as a billing entity for following providers:
Provider NameKaren M Lottman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457464224
PECOS PAC ID: 0749231629
Enrollment ID: I20050208000845

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