Jennifer Casper, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. Her current practice location is
1749 Martin Luther King Jr Way, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 841-8484.
Jennifer Casper is licensed to practice in California (license number 34075) 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 1710303102.
Healthcare Provider's Profile
Full Name | Jennifer Casper |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1749 Martin Luther King Jr Way, Berkeley, 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: 1710303102
- Provider Enumeration Date: 03/10/2014
- Last Update Date: 03/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204298904
- Enrollment ID: I20230811002251
Medical Identifiers
Medical identifiers for Jennifer Casper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710303102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 34075 (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. Jennifer Casper allows following entities to bill medicare on her behalf.
Entity Name | Berkeley Therapy Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255497814 PECOS PAC ID: 2264414283 Enrollment ID: O20040603000801 |
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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. Jennifer Casper 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 |
Jennifer Casper, PSYD 308 Broadmoor Blvd, San Leandro, CA 94577-1946 Ph: (925) 984-7036 | Jennifer Casper, PSYD 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 Ph: (510) 841-8484 |
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