Daniella Randall, in San Leandro, CA - Medicare Counselor Provider

Daniella Randall, is a medicare enrolled "Counselor - Mental Health" provider in San Leandro, California. Her current practice location is 2275 Arlington Dr, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 317-1444.

Daniella Randall is licensed to practice in California (license number 69055) 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 1669850475.

Contact Information

	Daniella Randall,
	2275 Arlington Dr, San Leandro, CA 94578-1132
	(510) 317-1444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daniella Randall
Gender	Female
Speciality	Counselor - Mental Health
Location	2275 Arlington Dr, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669850475
Provider Enumeration Date: 05/12/2015
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5395131056
Enrollment ID: I20220405002116

Medical Identifiers

Medical identifiers for Daniella Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669850475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
104100000X	Social Worker	69055 (California)	Secondary
101YM0800X	Counselor - Mental Health	69055 (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. Daniella Randall 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. Daniella Randall 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
Daniella Randall, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444	Daniella Randall, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444

Reviews and Comments

Counselor in San Leandro, CA

Anusheh N Warda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222 Fax: 510-481-1605
Mary Lightholder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Davis St, San Leandro, CA 94577 Phone: 510-618-6428
Justin Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15942 Foothill Blvd, San Leandro, CA 94578 Phone: 510-317-1444
Rashida Bremner Onwuka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Meredith Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Claudia Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1437
Jacquelyn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444

Daniella Randall, - Medicare Counselor in San Leandro, CA