Keshia R Ingram, in San Leandro, CA - Medicare Marriage & Family Therapist Provider

Keshia R Ingram, is a medicare enrolled "Marriage & Family Therapist" provider in San Leandro, California. Her current practice location is 400 Estudillo Ave Ste 100, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 352-9200.

Keshia R Ingram is licensed to practice in California (license number AMFT101262) 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 1134633068.

Contact Information

	Keshia R Ingram,
	400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962
	(510) 352-9200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keshia R Ingram
Gender	Female
Speciality	Marriage & Family Therapist
Location	400 Estudillo Ave Ste 100, 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: 1134633068
Provider Enumeration Date: 11/30/2017
Last Update Date: 02/17/2021

Medicare PECOS Information:

PECOS PAC ID: 2264875202
Enrollment ID: I20240207001574

Medical Identifiers

Medical identifiers for Keshia R Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134633068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	AMFT101262 (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. Keshia R Ingram 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

Entity Name	Contra Costa County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376620336 PECOS PAC ID: 8628052974 Enrollment ID: O20050707001058

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. Keshia R Ingram 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
Keshia R Ingram, 27 Chase St Apt A, Vallejo, CA 94590-7007 Ph: (707) 515-8633	Keshia R Ingram, 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 Ph: (510) 352-9200

Reviews and Comments

Marriage & Family Therapist in San Leandro, CA

Ms. Emilee Ann Dunlop, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15430 Foothill Blvd, San Leandro, CA 94578 Phone: 510-357-3562
Jing Zhao, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Cindy Hill-ford, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 545 Estudillo Ave, San Leandro, CA 94577 Phone: 510-352-9200 Fax: 510-875-1044
Cristina Rosas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577 Phone: 510-418-4421
Ms. Alison Clare Mckenzie, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 Phone: 510-667-3176
Adriana Najera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St Ste 215, San Leandro, CA 94578 Phone: 510-430-1115
Kevin Calaway, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222

Keshia R Ingram, - Medicare Couples Therapy in San Leandro, CA