Ellen C Morrissey (NPI# 1003913781, PAC ID# 1759398852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1003913781 |
| PAC ID by PECOS | 1759398852 |
| Professional Enrollment ID | I20080624000268 |
| Full Name | Ellen C Morrissey |
| Organization Legal Name | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| Address |
2905 Telegraph Ave Berkeley CA 94705-2017 |
| Phone Number | 5108410411 |
| Gender | F |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759377757 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050320 | HIGHLAND HOSPITAL |
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| 050101 | SUTTER SOLANO MEDICAL CENTER |
| 050276 | CONTRA COSTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 5108410411 | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| 1411 E 31st St, Oakland, CA 94602-1018 | 5104374800 | ALAMEDA HEALTH SYSTEM |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 11% |
| Organization Legal Name | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oliver K Khakmahd | Nephrology | East Bay Nephrology Medical Group, Inc. | 3043 Summit St, Oakland, CA 94609-3408 |
| Robert B Doud | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Donald A Block | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Samuel J Wong | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Katherine Rausa | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Veena Manjunath | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Golaun Odabaei | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Suzanne D Lee | Registered Dietitian Or Nutrition Professional | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Bryan M Wong | Nephrology | East Bay Nephrology Medical Group, Inc. | 3043 Summit St, Oakland, CA 94609-3408 |
| Denise M Ricker | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Street Address |
2905 TELEGRAPH AVE |
| City | BERKELEY |
| State | CA |
| Zip | 94705-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Block | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Golaun Odabaei | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Suzanne D Lee | Registered Dietitian Or Nutrition Professional | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Helen K Mwanza | Nurse Practitioner | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Rahitha Maria Thomas | Nurse Practitioner | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Vikram Suri | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Manasi A Bapat | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Nadereh Sarnevesht | Physician Assistant | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Chhaya B Patel | Registered Dietitian Or Nutrition Professional | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Josie A Tebben | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne E Menary | Psychologist, Clinical | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Claire M Capor | Clinical Social Worker | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Terris R Dunn | Dermatology | 2828 Telegraph Ave, Berkeley, CA 94705-1119 | |
| Carole A Petiet | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Meshulam Plaves | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Lila Coulter | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Lawrence J Yabroff | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Susanna Grace Bernat | Psychologist, Clinical | 2340 Ward St, Suite 104, Berkeley, CA 94705-1146 | |
| Miranda H Jung | Psychologist, Clinical | 2340 Ward St, Suite 101, Berkeley, CA 94705-1146 | |
| Vinod K Kurupath | Gastroenterology | Sutter Bay Medical Foundation | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1159 |
| Find all physicians in zip 94705 | |||
| City | BERKELEY |
| Zip Code | 94705 |
| Specialty | NEPHROLOGY |
| City + Specialty | BERKELEY + NEPHROLOGY |
Please comment or provide details below to improve the information on Ellen C Morrissey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.