Alexis Christine Petrakis, PSYD in Corte Madera, CA

Alexis Christine Petrakis, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Corte Madera, California. Her current practice location is 21 Tamal Vista Blvd Ste 225, Corte Madera, California. You can reach out to her office (for appointments etc.) via phone at (707) 216-1845.

Alexis Christine Petrakis is licensed to practice in California (license number PSY27024) 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 1215160569.

Contact Information

	Alexis Christine Petrakis, PSYD
	21 Tamal Vista Blvd Ste 225, Corte Madera, CA 94925-1130
	(707) 216-1845
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexis Christine Petrakis
Gender	Female
Speciality	Psychologist - Clinical
Location	21 Tamal Vista Blvd Ste 225, Corte Madera, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215160569
Provider Enumeration Date: 09/02/2009
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9436442035
Enrollment ID: I20160719002624

Medical Identifiers

Medical identifiers for Alexis Christine Petrakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215160569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27024 (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. Alexis Christine Petrakis allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Psych Strategies Inc A Psychological Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699775411 PECOS PAC ID: 0446144497 Enrollment ID: O20040210001132

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. Alexis Christine Petrakis 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
Alexis Christine Petrakis, PSYD 21 Tamal Vista Blvd Ste 225, Corte Madera, CA 94925-1130 Ph: (707) 216-1845	Alexis Christine Petrakis, PSYD 21 Tamal Vista Blvd Ste 225, Corte Madera, CA 94925-1130 Ph: (707) 216-1845

Reviews and Comments

Psychologist in Corte Madera, CA

Alexandra Nichols, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Meadowcreek Dr Ste 115, Corte Madera, CA 94925 Phone: 415-843-1523
Dr. Darby Furth Bonomi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Alta Way, Corte Madera, CA 94925 Phone: 415-713-4234
Dr. Heidi Klein Minnick, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 21 Tamal Vista Blvd., Suite 218, Corte Madera, CA 94925 Phone: 415-457-1793
Dr. David Jay Frankel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Fifer Ave, Suite 200, Corte Madera, CA 94925 Phone: 415-927-7067 Fax: 415-927-2179
Christine Elizabeth Valdez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 240 Tamal Vista Blvd Ste 160, Corte Madera, CA 94925 Phone: 415-604-2624
Dr. Arbella Odishoo Parrot, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Tamal Vista Blvd, Suite 203, Corte Madera, CA 94925 Phone: 415-548-3370
Judith Levinson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Tamal Plz, Suite 102, Corte Madera, CA 94925 Phone: 415-927-3210 Fax: 415-924-4803

Alexis Christine Petrakis, PSYD - Medicare Psychologist in Corte Madera, CA