Perbey Ann Pandac, | |
126 W 25th Ave Ste 202, San Mateo, CA 94403-2208 | |
(650) 286-2090 | |
(650) 282-2092 |
Full Name | Perbey Ann Pandac |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 126 W 25th Ave Ste 202, San Mateo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861746885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 72964 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 92608 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Perbey Ann Pandac, 3800 Coolidge Ave, Oakland, CA 94602-3311 Ph: (510) 482-2244 | Perbey Ann Pandac, 126 W 25th Ave Ste 202, San Mateo, CA 94403-2208 Ph: (650) 286-2090 |
Elena Sharon Levin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8569 Fax: 650-341-7389 | |
Ms. Luz Denise Govea, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd Ste 115, San Mateo, CA 94402 Phone: 650-294-2812 | |
Diana Moore, MA LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283 | |
Clifford Reis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8540 Fax: 650-522-9830 | |
Mr. Marcos H. Chacon Jr., M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5368 | |
Luke Wilkerson, M.S.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 619-365-9956 | |
Ms. Nancy Grace Devaurs, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1611 Borel Pl, Ste. 209, San Mateo, CA 94402 Phone: 650-571-7700 Fax: 650-571-7707 |