Mr Jordan Gabriel Pelot, MA, LMFT in Berkeley, CA - Medicare Marriage & Family Therapist Provider

Mr Jordan Gabriel Pelot, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Berkeley, California. His current practice location is 2901 Shattuck Ave, Suite E., Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 698-2579.

Mr Jordan Gabriel Pelot is licensed to practice in California (license number 93693) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306127246.

Contact Information

	Mr Jordan Gabriel Pelot, MA, LMFT
	2901 Shattuck Ave, Suite E., Berkeley, CA 94705-1808
	(510) 698-2579
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jordan Gabriel Pelot
Gender	Male
Speciality	Marriage & Family Therapist
Location	2901 Shattuck Ave, 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: 1306127246
Provider Enumeration Date: 09/06/2011
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 0840643078
Enrollment ID: I20240124001972

Medical Identifiers

Medical identifiers for Mr Jordan Gabriel Pelot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306127246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	93693 (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. Mr Jordan Gabriel Pelot allows following entities to bill medicare on his behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

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. Mr Jordan Gabriel Pelot 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
Mr Jordan Gabriel Pelot, MA, LMFT Po Box 3943, Berkeley, CA 94703-0943 Ph: (510) 698-2579	Mr Jordan Gabriel Pelot, MA, LMFT 2901 Shattuck Ave, Suite E., Berkeley, CA 94705-1808 Ph: (510) 698-2579

Reviews and Comments

Marriage & Family Therapist in Berkeley, CA

Susan Mary Chasson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2145 Mcgee Ave, Berkeley, CA 94703 Phone: 510-549-1567
Dymetria Sellers, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2855 Telegraph Ave Ste 205, Berkeley, CA 94705 Phone: 888-963-9639
Phoenix Song, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Shattuck Ave, Ste 12, #228, Berkeley, CA 94709 Phone: 415-545-8215
Winifred Mullinack Reilly, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1314 Milvia St, Berkeley, CA 94709 Phone: 510-528-0802
Leland S Johnson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2640 Martin Luther King Jr Way, Berkeley, CA 94704 Phone: 510-981-5290 Fax: 510-981-5265
Ms. Madeline Mischo Shelby, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2925 Shattuck Ave, Berkeley, CA 94705 Phone: 510-568-6221 Fax: 510-568-6221
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

Mr Jordan Gabriel Pelot, MA, LMFT - Medicare Couples Therapy in Berkeley, CA