Michele Stacy Berk, PHD - Medicare Psychologist in Palo Alto, CA

Michele Stacy Berk, PHD is a medicare enrolled "Psychologist - Clinical" provider in Palo Alto, California. Her current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 497-8000.

Michele Stacy Berk is licensed to practice in California (license number PSY19929) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457386278.

Contact Information

Michele Stacy Berk, PHD
725 Welch Rd,
Palo Alto, CA 94304-1601
(650) 497-8000
Not Available



Healthcare Provider's Profile

Full NameMichele Stacy Berk
GenderFemale
SpecialityPsychologist - Clinical
Location725 Welch Rd, Palo Alto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457386278
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 08/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0345281523
  • Enrollment ID: I20050518000410

Medical Identifiers

Medical identifiers for Michele Stacy Berk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457386278NPI-NPPES
PSY199290MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY19929 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michele Stacy Berk allows following entities to bill medicare on her behalf.
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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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. Michele Stacy Berk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michele Stacy Berk, PHD
725 Welch Rd,
Palo Alto, CA 94304-1601

Ph: (650) 497-8000
Michele Stacy Berk, PHD
725 Welch Rd,
Palo Alto, CA 94304-1601

Ph: (650) 497-8000

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Barbara M Sourkes, PHD
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Practice Location: 725 Welch Rd, Palo Alto, CA 94304
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Dr. Ferol F. Larsen, PHD
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