Jeffrey Beal, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Jeffrey Beal is licensed to practice in California (license number 68533) and his current practice location is
13939 E 14th St Ste 190, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 714-1196.
NPI number for Jeffrey Beal is 1962634840 and his current mailing address is 3260 Blume Dr, Ste 450, Richmond, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962634840.
Healthcare Provider's Profile
| Full Name | Jeffrey Beal |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 13939 E 14th St Ste 190, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962634840
- Provider Enumeration Date: 08/11/2009
- Last Update Date: 08/08/2024
Medical Identifiers
Medical identifiers for Jeffrey Beal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962634840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 68533 (California) | Secondary |
| 104100000X | Social Worker | 68533 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 68533 (California) | Primary |
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. Jeffrey Beal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey Beal,
3260 Blume Dr, Ste 450,
Richmond, CA 94806-5203
Ph: (510) 262-6551 | Jeffrey Beal,
13939 E 14th St Ste 190,
San Leandro, CA 94578-2601
Ph: (510) 714-1196 |
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