Dr Mauricio Lask Knizek, PSYD in Berkeley, CA - Medicare Clinical Psychologist Provider

Dr Mauricio Lask Knizek, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice La Clinica De La Raza Inc and his current practice location is 2397 Shattuck Ave Ste 206, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 863-1134.

Dr Mauricio Lask Knizek is licensed to practice in California (license number PSY25955) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558501973.

Contact Information

	Dr Mauricio Lask Knizek, PSYD
	2397 Shattuck Ave Ste 206, Berkeley, CA 94704-1567
	(510) 863-1134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mauricio Lask Knizek
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	2397 Shattuck Ave Ste 206, Berkeley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mauricio Lask Knizek graduated from medical school in 2012

NPI Data:

NPI Number: 1558501973
Provider Enumeration Date: 02/25/2009
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2062703754
Enrollment ID: I20211111000726

Medical Identifiers

Medical identifiers for Dr Mauricio Lask Knizek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558501973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY25955 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Clinica De La Raza Inc	1557258282	108

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 Mauricio Lask Knizek allows following entities to bill medicare on his behalf.

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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 Mauricio Lask Knizek 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 Mauricio Lask Knizek, PSYD 2397 Shattuck Ave Ste 206, Berkeley, CA 94704-1567 Ph: (510) 863-1134	Dr Mauricio Lask Knizek, PSYD 2397 Shattuck Ave Ste 206, Berkeley, CA 94704-1567 Ph: (510) 863-1134

Reviews and Comments

Psychologist in Berkeley, CA

Ethan R Schwartz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Ward St Ste 204, Berkeley, CA 94705 Phone: 510-658-5887
Dr. Noah Matthew Collins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 768 Peralta Ave, Berkeley, CA 94707 Phone: 501-982-5337
Samuel Doong, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2514 Piedmont Ave Apt 105, Berkeley, CA 94704 Phone: 909-380-3463
Himadhari Sharma, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way Spc 4300, Berkeley, CA 94720 Phone: 510-642-9494 Fax: 510-642-2368
Dr. Lenora M Poe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2034 Blake St, #1, Berkeley, CA 94704 Phone: 510-845-7189 Fax: 510-845-2330
Dr. Michael Christopher Changaris, PSY.D. LIC#:PSY24712 Psychologist Medicare: Medicare Enrolled Practice Location: 771 San Luis Rd, Berkeley, CA 94707 Phone: 510-214-2559
Dr. Matthew Reader Goodman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way Spc 4300, Berkeley, CA 94720 Phone: 510-642-0695

Dr Mauricio Lask Knizek, PSYD - Medicare Psychologist in Berkeley, CA