Kristine Phelan, AMFT in El Cerrito, CA - Medicare Marriage & Family Therapist Provider

Kristine Phelan, AMFT is a medicare enrolled "Marriage & Family Therapist" provider in El Cerrito, California. Her current practice location is 11175 San Pablo Ave, El Cerrito, California. You can reach out to her office (for appointments etc.) via phone at (510) 559-3009.

Kristine Phelan is licensed to practice in California (license number AMFT128314) 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 1528723376.

Contact Information

	Kristine Phelan, AMFT
	11175 San Pablo Ave, El Cerrito, CA 94530-2157
	(510) 559-3009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristine Phelan
Gender	Female
Speciality	Marriage & Family Therapist
Location	11175 San Pablo Ave, El Cerrito, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528723376
Provider Enumeration Date: 11/06/2021
Last Update Date: 11/06/2021

Medicare PECOS Information:

PECOS PAC ID: 1658711809
Enrollment ID: I20240503003423

Medical Identifiers

Medical identifiers for Kristine Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528723376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	AMFT128314 (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. Kristine Phelan 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. Kristine Phelan 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
Kristine Phelan, AMFT Po Box 3959, Napa, CA 94558-0395 Ph: (415) 244-0971	Kristine Phelan, AMFT 11175 San Pablo Ave, El Cerrito, CA 94530-2157 Ph: (510) 559-3009

Reviews and Comments

Marriage & Family Therapist in El Cerrito, CA

Mrs. Ruth Marina Ordenana, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 San Pablo Ave, El Cerrito, CA 94530 Phone: 510-559-5550
Ellen Sue Friedman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 139 Ashbury Ave., El Cerrito, CA 94530 Phone: 510-524-6278
Alexander M Hill, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6851 Kenilworth Ave, El Cerrito, CA 94530 Phone: 301-412-5445
Cynthia Liuska, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 501 Kearney St, El Cerrito, CA 94530 Phone: 415-448-7043
Ms. Shonali Shome, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 San Pablo Ave, El Cerrito, CA 94530 Phone: 510-559-5550
Ms. Lise Serrie Stern, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 609 Kearney St, El Cerrito, CA 94530 Phone: 510-232-5813 Fax: 510-232-5813
Maureen Y Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11100 San Pablo Ave Ste 205, El Cerrito, CA 94530 Phone: 415-328-3202

Kristine Phelan, AMFT - Medicare Couples Therapy in El Cerrito, CA