DR. KAREN THERESIA MARCUS M.D. NPI 1003043993

Psychiatry & Neurology (Psychiatry) in Pittsburg, CA

NPI 1003043993 Individual Female Years of Experience 15 Psychiatry & Neurology Psychiatry PECOS Enrolled Accepts Medicare Approved Payment

About KAREN MARCUS

Karen Marcus is a provider established in Pittsburg, California and her medical specialization is psychiatry & neurology (psychiatry) with more than 15 years of experience. She graduated from University Of California, San Diego School Of Medicine in 2007. The NPI number of Karen Marcus is 1003043993 and was assigned on June 2009. The practitioner's primary taxonomy code is 2084P0800X with license number A108365 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A psychiatrist like Dr. Karen Theresia Marcus M.d. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Karen Marcus is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Karen Marcus is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Alta Bates Summit Medical Center - Alta Bates Camp.

NPI

1003043993

Provider NameDR. KAREN THERESIA MARCUS M.D.
Provider Location Address2311 LOVERIDGE RD 2ND FLOOR PITTSBURG, CA 94565
Provider Mailing Address2311 LOVERIDGE RD 2ND FLOOR PITTSBURG, CA 94565
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-17-2009
Last Update Date03-20-2012


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.A108365
License StateCA
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

DR. KAREN THERESIA MARCUS M.D.
2311 LOVERIDGE RD
2ND FLOOR
PITTSBURG, CA
ZIP 94565
Phone: (925) 431-2600
Fax: (925) 431-2665

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Mailing Address

DR. KAREN THERESIA MARCUS M.D.
2311 LOVERIDGE RD
2ND FLOOR
PITTSBURG, CA
ZIP 94565
Phone: (925) 431-2600
Fax: (925) 431-2665



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8921271289
PECOS Enrollment IDI20111101000690
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Karen Marcus is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP2450 ASHBY AVENUE
BERKELEY, CA 94705
(510) 204-4444Acute Care Hospitals50305

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285640417DR. DEBORAH SIMON-WEISBERG M.D.
Individual
Family Medicine2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2300
1568540763CONTRA COSTA COUNTY
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 957-5429
1093883514MS. BERNARDITA P SANABRIA LMFT
Individual
Marriage & Family Therapist2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG, CA 94565
(925) 431-2600
1922168780MS. RADHIKA J MILES LMFT
Individual
Counselor (Mental Health)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2654
1013077668MS. EUGENIE ELISE KAISER LMFT
Individual
Marriage & Family Therapist2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG, CA 94565
(925) 431-2637
1063573608DR. CHERYL M. BRYAN PH.D.
Individual
Psychologist (Clinical)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2626
1487718789 SALVADOR DEATOCHE MORALES09-08-49
Individual
Counselor (Mental Health)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1497806913MS. E JAYE ANDERSON LMFT
Individual
Marriage & Family Therapist2311 LOVERIDGE RD 2ND FL.
PITTSBURG, CA 94565
(925) 431-2634
1285787382MS. BEVERLY ANN FUHRMAN LMFT
Individual
Marriage & Family Therapist2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG, CA 94565
(925) 431-2621
1639223225MRS. ALICIA BEATRIZ TINNIRELLO LMFT
Individual
Marriage & Family Therapist2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG, CA 94565
(925) 431-2611
1366596868MR. WALTER RICHARD GORSKI MA
Individual
Counselor (Mental Health)2311 LOVERIDGE RD 2 ND FLOOR
PITTSBURG, CA 94565
(925) 431-2616
1205982865MS. TAMARA KAY CREE RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1346396918MS. JO-ANN HARTONG R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2641
1407902943 EDITH NWOSU
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1730225871 SUSAN NAOMA SMITH R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1669510848DR. HALA M FATTAH MD
Individual
Psychiatry & Neurology (Psychiatry)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1083752182 LOUIS JOSEPH JUMONVILLE II
Individual
Marriage & Family Therapist2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2600
1942338322MR. RICHARD FREDRICK GOLDBERG MA
Individual
Counselor (Mental Health)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2628
1427187921MR. EDMUNDO LUIS OROZCO MHRS
Individual
Counselor (Mental Health)2311 LOVERIDGE RD
PITTSBURG, CA 94565
(925) 431-2623
1972795268MISS VERONICA ANGELICA MARIA GREENHOUSE
Individual
Counselor (Mental Health)2311 LOVERIDGE RD 2ND FLOOR
PITTSBURG, CA 94565
(925) 431-2624

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.