Cheyenne Berry, in Santa Clara, CA - Medicare Counselor Provider

Cheyenne Berry, is a medicare enrolled "Counselor - Mental Health" provider in Santa Clara, California. Her current practice location is Kaiser Permanente Behavioral Health Center, 3840 Homestead Road, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-4923.

Cheyenne Berry is licensed to practice in California (license number 127298) 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 1114523511.

Contact Information

	Cheyenne Berry,
	Kaiser Permanente Behavioral Health Center, 3840 Homestead Road, Santa Clara, CA 95051
	(408) 851-4923
	(408) 851-4925

Map and Direction

Healthcare Provider's Profile

Full Name	Cheyenne Berry
Gender	Female
Speciality	Counselor - Mental Health
Location	Kaiser Permanente Behavioral Health Center, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114523511
Provider Enumeration Date: 12/10/2020
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7315387180
Enrollment ID: I20240426000381

Medical Identifiers

Medical identifiers for Cheyenne Berry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114523511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	AMFT90521 (California)	Secondary
101YM0800X	Counselor - Mental Health	127298 (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. Cheyenne Berry 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. Cheyenne 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 Address	Practice Location Address
Cheyenne Berry, Kaiser Permanente Behavioral Health Center, 3840 Homestead Road, Santa Clara, CA 95051 Ph: (408) 851-4923	Cheyenne Berry, Kaiser Permanente Behavioral Health Center, 3840 Homestead Road, Santa Clara, CA 95051 Ph: (408) 851-4923

Reviews and Comments

Counselor in Santa Clara, CA

Cheryl Leigh Rouse, Counselor Medicare: Medicare Enrolled Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922
Jon Michael Faxon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-569-2604

Cheyenne Berry, - Medicare Counselor in Santa Clara, CA