Katrice Christine Maliszewski, is a medicare enrolled "Social Worker - Clinical" provider in Clearlake, California. Her current practice location is
15230 Lakeshore Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at
(707) 995-4545.
Katrice Christine Maliszewski is licensed to practice in California (license number 99738) 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 1073002911.
Healthcare Provider's Profile
Full Name | Katrice Christine Maliszewski |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15230 Lakeshore Dr, Clearlake, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073002911
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587023841
- Enrollment ID: I20230705000573
Medical Identifiers
Medical identifiers for Katrice Christine Maliszewski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073002911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 99738 (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. Katrice Christine Maliszewski allows following entities to bill medicare on her behalf.
Entity Name | Southern California Psychology Centers Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386066363 PECOS PAC ID: 6406170653 Enrollment ID: O20150119000828 |
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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. Katrice Christine Maliszewski 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 Address | Practice Location Address |
Katrice Christine Maliszewski, 3002 Armstrong St, San Diego, CA 92111-5702 Ph: (858) 277-9550 | Katrice Christine Maliszewski, 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4545 |
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