Jeffrey Alan Berenson, MD | |
45081 Little Lake Street, Mendocino, CA 95460 | |
(707) 937-1055 | |
(707) 937-1061 |
Full Name | Jeffrey Alan Berenson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 45081 Little Lake Street, Mendocino, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902828619 | NPI | - | NPPES |
00G395740 | Other | CA | BLUE SHIELD |
1902828619 | Medicaid | CA | |
P00872335 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G39574 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Attenda Medical Group Inc | 6507274354 | 6 |
Entity Name | Mendocino Coast Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 1759364375 Enrollment ID: O20040612000288 |
Entity Name | Attenda Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740866615 PECOS PAC ID: 6507274354 Enrollment ID: O20210416000917 |
Entity Name | Adventist Health Mendocino Coast |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Alan Berenson, MD 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 Ph: (707) 575-6049 | Jeffrey Alan Berenson, MD 45081 Little Lake Street, Mendocino, CA 95460 Ph: (707) 937-1055 |
Dr. Frederick J. Dumas Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 940 Ukiah St., Box 1129, Mendocino, CA 95460 Phone: 707-937-4202 Fax: 707-937-6003 |