Aysha Bridgeth Augustine Chemparathy, in Berkeley, CA - Medicare Marriage & Family Therapist Provider

Aysha Bridgeth Augustine Chemparathy, is a medicare enrolled "Marriage & Family Therapist" provider in Berkeley, California. Her current practice location is 3200 Adeline St, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 601-0203.

Aysha Bridgeth Augustine Chemparathy is licensed to practice in California (license number 108561) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831406156.

Contact Information

	Aysha Bridgeth Augustine Chemparathy,
	3200 Adeline St, Berkeley, CA 94703-2407
	(510) 601-0203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aysha Bridgeth Augustine Chemparathy
Gender	Female
Speciality	Marriage & Family Therapist
Location	3200 Adeline St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831406156
Provider Enumeration Date: 09/08/2010
Last Update Date: 06/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0143666438
Enrollment ID: I20240308001948

Medical Identifiers

Medical identifiers for Aysha Bridgeth Augustine Chemparathy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831406156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	MFTI 73480 (California)	Secondary
106H00000X	Marriage & Family Therapist	108561 (California)	Primary

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. Aysha Bridgeth Augustine Chemparathy allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Aysha Bridgeth Augustine Chemparathy 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 Address	Practice Location Address
Aysha Bridgeth Augustine Chemparathy, P.o.box # 20428, El Sobrante, CA 94820 Ph: (510) 367-7309	Aysha Bridgeth Augustine Chemparathy, 3200 Adeline St, Berkeley, CA 94703-2407 Ph: (510) 601-0203

Reviews and Comments

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Aysha Bridgeth Augustine Chemparathy, - Medicare Couples Therapy in Berkeley, CA