Laura Pluckhan, PSYD in Lodi, CA - Medicare Psychologist Provider

Laura Pluckhan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lodi, California. Her current practice location is 2415 W Kettleman Ln # 1020, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (916) 668-0379.

Laura Pluckhan is licensed to practice in California (license number PSY35460) 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 1821601071.

Contact Information

	Laura Pluckhan, PSYD
	2415 W Kettleman Ln # 1020, Lodi, CA 95242-4121
	(916) 668-0379
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Pluckhan
Gender	Female
Speciality	Psychologist - Clinical
Location	2415 W Kettleman Ln # 1020, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821601071
Provider Enumeration Date: 08/27/2020
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 3577088764
Enrollment ID: I20250421001711

Medical Identifiers

Medical identifiers for Laura Pluckhan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821601071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY35460 (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. Laura Pluckhan 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

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. Laura Pluckhan 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
Laura Pluckhan, PSYD 2415 W Kettleman Ln # 1020, Lodi, CA 95242-4121 Ph: (916) 668-0379	Laura Pluckhan, PSYD 2415 W Kettleman Ln # 1020, Lodi, CA 95242-4121 Ph: (916) 668-0379

Reviews and Comments

Psychologist in Lodi, CA

Mr. Bruce Edward Becker, PPS,LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-915-2753
Helen Tsai, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7085
Sheena Peters, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7424
Dr. Theresa J Lee, DOCTOR OF EDUCATION Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7085
Bobbie Renee Ables-smith, LEP #3049 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7085
Dr. Marcia M Asgarian, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 755 S Fairmont Ave Ste A3, Lodi, CA 95240 Phone: 290-327-5600 Fax: 209-366-0277
Ms. Francesca Zaragoza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7000

Laura Pluckhan, PSYD - Medicare Psychologist in Lodi, CA