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Eileen M. Flanagan

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5661 Keith Ave, Suite 101, Oakland, CA 94618-1542

PECOS Enrollment

This provider is enrolled in PECOS as EILEEN FLANAGAN.

Based on the most recent information from CMS, provider Eileen M. Flanagan is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1306974118
Provider Type
Individual
Full Name
Flanagan, Eileen M.
Title
Ms.
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/1/2007
Last Updated
4/23/2010

Contact Information

Practice Location

5661 Keith Ave, Suite 101, Oakland, CA 94618-1542

(510) 601-1590

Unlisted Fax

Mailing Location

5661 Keith Ave, Suite 101, Oakland, CA 94618-1542

(510) 601-1590

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC42319 California

Eileen M. Flanagan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Green, Monika

Mandujano, Diana

Ghidinelli, Deborah

Mcmanus, Mary

Kully, Lisa Ann

Ehrlich, Dena

Jaroszewska, Joanna Katarzyna

Bryson, Sandra

Lerman, Esther

Hershel, Helena