Mrs Kimberly Brochard-des Roches, MFT in San Leandro, CA

Mrs Kimberly Brochard-des Roches, MFT is a medicare enrolled "Counselor - Mental Health" provider in San Leandro, California. Her current practice location is 2401 Merced St, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 807-2966.

Mrs Kimberly Brochard-des Roches is licensed to practice in * (Not Available) (license number ) 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 1942642897.

Contact Information

	Mrs Kimberly Brochard-des Roches, MFT
	2401 Merced St, San Leandro, CA 94577-4228
	(510) 807-2966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Brochard-des Roches
Gender	Female
Speciality	Counselor - Mental Health
Location	2401 Merced St, 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: 1942642897
Provider Enumeration Date: 07/19/2013
Last Update Date: 04/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4789037979
Enrollment ID: I20240124000807

Medical Identifiers

Medical identifiers for Mrs Kimberly Brochard-des Roches such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942642897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Mrs Kimberly Brochard-des Roches 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. Mrs Kimberly Brochard-des Roches 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
Mrs Kimberly Brochard-des Roches, MFT 2401 Merced St, San Leandro, CA 94577-4228 Ph: () -	Mrs Kimberly Brochard-des Roches, MFT 2401 Merced St, San Leandro, CA 94577-4228 Ph: (510) 807-2966

Reviews and Comments

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Mrs Kimberly Brochard-des Roches, MFT - Medicare Counselor in San Leandro, CA