| Mae Jennifer Le, | |
|
2344 6th St, Berkeley, CA 94710-2412 | |
| (510) 981-4100 | |
| Not Available |
| Full Name | Mae Jennifer Le |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2344 6th St, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447765698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95008071 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95008071 (California) | Primary |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Mae Jennifer Le, Po Box 11247, Berkeley, CA 94712-2247 Ph: (510) 981-4100 | Mae Jennifer Le, 2344 6th St, Berkeley, CA 94710-2412 Ph: (510) 981-4100 |
Jessica B. Vetter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-9494 | |
Patricia Monger Harwood, RN.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Avenue, Berkeley, CA 94704 Phone: 510-642-8833 | |
Miss Madeline Tam Chow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 4th St, Suite 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982 | |
Zena E Herman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100 | |
Kathryn Leach, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-642-2000 | |
Stephanie Michelle Tai, FNP, MSN, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600 | |
Denise Scholz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3260 Sacramento St, Berkeley, CA 94702 Phone: 510-981-4100 |