Jeffrey Beal, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in San Leandro, California. His current practice location is
13939 E 14th St Ste 190, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at
(510) 714-1196.
Jeffrey Beal is licensed to practice in California (license number 68533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962634840.
Healthcare Provider's Profile
Full Name | Jeffrey Beal |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 13939 E 14th St Ste 190, San Leandro, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962634840
- Provider Enumeration Date: 08/11/2009
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890147649
- Enrollment ID: I20240117004255
Medical Identifiers
Medical identifiers for Jeffrey Beal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962634840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 68533 (California) | Secondary |
104100000X | Social Worker | 68533 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 68533 (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. Jeffrey Beal allows following entities to bill medicare on his behalf.
Entity Name | Bonita House, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073728770 PECOS PAC ID: 1153510953 Enrollment ID: O20110110000671 |
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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. Jeffrey Beal 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 |
Jeffrey Beal, 3260 Blume Dr, Ste 450, Richmond, CA 94806-5203 Ph: (510) 262-6551 | Jeffrey Beal, 13939 E 14th St Ste 190, San Leandro, CA 94578-2601 Ph: (510) 714-1196 |
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