Makeba M Id-deen, MA is a
Rehabilitation Practitioner based in San Leandro, California. Makeba M Id-deen is licensed to practice in * (Not Available) (license number ) and her current practice location is
777 Davis St, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 839-3800.
NPI number for Makeba M Id-deen is 1730471731 and her current mailing address is 777 Davis St, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730471731.
Healthcare Provider's Profile
| Full Name | Makeba M Id-deen |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 777 Davis St, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730471731
- Provider Enumeration Date: 05/09/2011
- Last Update Date: 08/25/2025
Medical Identifiers
Medical identifiers for Makeba M Id-deen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730471731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Makeba M Id-deen 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 |
|---|
Makeba M Id-deen, MA
777 Davis St,
San Leandro, CA 94577-6923
Ph: () - | Makeba M Id-deen, MA
777 Davis St,
San Leandro, CA 94577-6923
Ph: (510) 839-3800 |
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