Dr La Tanya Alicia Takla, EDD, LMFT, LPCC in Menlo Park, CA - Medicare Clinical Psychologist Provider

Dr La Tanya Alicia Takla, EDD, LMFT, LPCC is a medicare enrolled "Psychologist - Clinical" provider in Menlo Park, California. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 3705 Haven Ave Ste 112, Menlo Park, California. You can reach out to her office (for appointments etc.) via phone at (916) 827-3058.

Dr La Tanya Alicia Takla is licensed to practice in California (license number 32391) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366635526.

Contact Information

	Dr La Tanya Alicia Takla, EDD, LMFT, LPCC
	3705 Haven Ave Ste 112, Menlo Park, CA 94025-1011
	(916) 827-3058
	(916) 678-4138

Map and Direction

Healthcare Provider's Profile

Full Name	Dr La Tanya Alicia Takla
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	3705 Haven Ave Ste 112, Menlo Park, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr La Tanya Alicia Takla graduated from medical school in 2018

NPI Data:

NPI Number: 1366635526
Provider Enumeration Date: 08/21/2007
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1951586262
Enrollment ID: I20210412000928

Medical Identifiers

Medical identifiers for Dr La Tanya Alicia Takla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366635526	NPI	-	NPPES
CA460541	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32391 (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 La Tanya Alicia Takla allows following entities to bill medicare on her behalf.

Entity Name	La Tanya Takla, Psychologist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336819564 PECOS PAC ID: 4789062290 Enrollment ID: O20220610002029

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 La Tanya Alicia Takla 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 La Tanya Alicia Takla, EDD, LMFT, LPCC 1343 Magnolia Ave, Modesto, CA 95350-5249 Ph: (916) 827-3058	Dr La Tanya Alicia Takla, EDD, LMFT, LPCC 3705 Haven Ave Ste 112, Menlo Park, CA 94025-1011 Ph: (916) 827-3058

Reviews and Comments

Psychologist in Menlo Park, CA

Dr. Timothy J Avery, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Menlo Park, CA 94025 Phone: 650-493-5000
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Dr. Maryam Tajiki, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 830 Menlo Ave, Ste 200, Menlo Park, CA 94025 Phone: 650-322-8646
Dr. Jacqueline D.s. Jackson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Menlo Ave, #209, Menlo Park, CA 94025 Phone: 650-321-5206
Dr. Michael Nagy, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1187 University Dr Ste 5, Menlo Park, CA 94025 Phone: 650-434-3118
Elizabeth Santana, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1040 Noel Dr Ste 209, Menlo Park, CA 94025 Phone: 650-561-6462

Dr La Tanya Alicia Takla, EDD, LMFT, LPCC - Medicare Psychologist in Menlo Park, CA