Lisa J Kelleher, LMFT in Berkeley, CA - Medicare Marriage & Family Therapist Provider

Lisa J Kelleher, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Berkeley, California. Her current practice location is 3075 Adeline St, Suite 120, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 848-1112.

Lisa J Kelleher is licensed to practice in California (license number MFC92790) 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 1922302983.

Contact Information

	Lisa J Kelleher, LMFT
	3075 Adeline St, Suite 120, Berkeley, CA 94703-2576
	(510) 848-1112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa J Kelleher
Gender	Female
Speciality	Marriage & Family Therapist
Location	3075 Adeline St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922302983
Provider Enumeration Date: 01/05/2011
Last Update Date: 01/18/2017

Medicare PECOS Information:

PECOS PAC ID: 9537501135
Enrollment ID: I20240529000435

Medical Identifiers

Medical identifiers for Lisa J Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922302983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC92790 (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. Lisa J Kelleher 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. Lisa J Kelleher 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
Lisa J Kelleher, LMFT 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 Ph: (510) 848-1112	Lisa J Kelleher, LMFT 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 Ph: (510) 848-1112

Reviews and Comments

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Ms. Caro S. Grosvenor, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2526 Webster St, Berkeley, CA 94705 Phone: 510-734-6559 Fax: 510-526-4092

Lisa J Kelleher, LMFT - Medicare Couples Therapy in Berkeley, CA