Dr Bonnie D Lucks, PHD in San Diego, CA - Medicare Psychologist Provider

Dr Bonnie D Lucks, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is 6367 Alvarado Ct Ste 200, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 069-0777.

Dr Bonnie D Lucks is licensed to practice in California (license number PSY 22788) 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 1609910876.

Contact Information

	Dr Bonnie D Lucks, PHD
	6367 Alvarado Ct Ste 200, San Diego, CA 92120-4915
	(619) 069-0777
	(619) 563-4559

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bonnie D Lucks
Gender	Female
Speciality	Psychologist - Clinical
Location	6367 Alvarado Ct Ste 200, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609910876
Provider Enumeration Date: 02/19/2007
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7214081454
Enrollment ID: I20200619001981

Medical Identifiers

Medical identifiers for Dr Bonnie D Lucks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609910876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSB 22788 (California)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	PSY 22788 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY 22788 (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. Dr Bonnie D Lucks allows following entities to bill medicare on her behalf.

Entity Name	Lucks Psychology, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841421328 PECOS PAC ID: 9032263272 Enrollment ID: O20090821000470

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. Dr Bonnie D Lucks 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
Dr Bonnie D Lucks, PHD Po Box 191274, San Diego, CA 92159-1274 Ph: (619) 500-4658	Dr Bonnie D Lucks, PHD 6367 Alvarado Ct Ste 200, San Diego, CA 92120-4915 Ph: (619) 069-0777

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
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Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257

Dr Bonnie D Lucks, PHD - Medicare Psychologist in San Diego, CA