Amber Keroles, PSYD in Fremont, CA - Medicare Psychologist Provider

Amber Keroles, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fremont, California. Her current practice location is 39650 Liberty St Ste 140, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 498-2086.

Amber Keroles is licensed to practice in California (license number 34383) 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 1124708177.

Contact Information

	Amber Keroles, PSYD
	39650 Liberty St Ste 140, Fremont, CA 94538-2225
	(510) 498-2086
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Keroles
Gender	Female
Speciality	Psychologist - Clinical
Location	39650 Liberty St Ste 140, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124708177
Provider Enumeration Date: 07/24/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5799139374
Enrollment ID: I20231002000020

Medical Identifiers

Medical identifiers for Amber Keroles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124708177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34383 (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. Amber Keroles allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Amber Keroles 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
Amber Keroles, PSYD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (844) 928-1872	Amber Keroles, PSYD 39650 Liberty St Ste 140, Fremont, CA 94538-2225 Ph: (510) 498-2086

Reviews and Comments

Psychologist in Fremont, CA

Manju Prabadaran, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4210 Technology Dr, Fremont, CA 94538 Phone: 747-777-2791
Dr. Benedict Anthony Lim, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Department Of Psychiatry, Fremont, CA 94538 Phone: 510-248-3060
Dr. Jennifer Katherine Leo, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000
Vidur Malik, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100
Libby Pearce, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 39420 Liberty St, Suite 140, Fremont, CA 94538 Phone: 510-745-9151
Dr. Danessa Iza Mayo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3893 Fiano Cmn, Fremont, CA 94555 Phone: 510-497-0478
Dr. Hannah Joharchi, Psychologist Medicare: Medicare Enrolled Practice Location: 39350 Civic Center Dr, Fremont, CA 94538 Phone: 510-494-4145

Amber Keroles, PSYD - Medicare Psychologist in Fremont, CA