Jennifer Berg, is a medicare enrolled "Psychologist" provider in Atascadero, California. Her current practice location is
10801 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at
(805) 597-7816.
Jennifer Berg is licensed to practice in California (license number 25740) 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 1669530622.
Healthcare Provider's Profile
Full Name | Jennifer Berg |
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Gender | Female |
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Speciality | Psychologist |
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Location | 10801 El Camino Real, Atascadero, 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: 1669530622
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 9133484363
- Enrollment ID: I20180517001706
Medical Identifiers
Medical identifiers for Jennifer Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669530622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 25740 (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 Berg allows following entities to bill medicare on her behalf.
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
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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 Berg 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 Berg, 10801 El Camino Real, Atascadero, CA 93422-8867 Ph: () - | Jennifer Berg, 10801 El Camino Real, Atascadero, CA 93422-8867 Ph: (805) 597-7816 |
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