DR. MYRA GUECO BERNECKER PH.D. NPI 1003033267

Psychologist (Clinical) in Kentfield, CA

NPI 1003033267 Individual Female Psychologist Clinical PECOS Enrolled Opted-Out Medicare

About MYRA BERNECKER

Myra Bernecker is a provider established in Kentfield, California and her medical specialization is psychologist (clinical) . The NPI number of Myra Bernecker is 1003033267 and was assigned on April 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PSY21427 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

A clinical psychologist like Dr. Myra Gueco Bernecker Ph.d. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Myra Bernecker is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Myra Bernecker is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Myra Bernecker opted out of Medicare effective on 01-01-2019 until 01-01-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1003033267

Provider NameDR. MYRA GUECO BERNECKER PH.D.
Provider Location Address1036 SIR FRANCIS DRAKE BLVD STE 204 KENTFIELD, CA 94904
Provider Mailing Address1036 SIR FRANCIS DRAKE BLVD STE 204 KENTFIELD, CA 94904
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-19-2007
Last Update Date07-29-2020


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PSY21427
License StateCA
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. MYRA GUECO BERNECKER PH.D.
1036 SIR FRANCIS DRAKE BLVD STE 204
KENTFIELD, CA
ZIP 94904
Phone: (415) 354-4241

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Mailing Address

DR. MYRA GUECO BERNECKER PH.D.
1036 SIR FRANCIS DRAKE BLVD STE 204
KENTFIELD, CA
ZIP 94904
Phone: (415) 354-4241



Secondary Locations

2354 Post St
San Francisco, CA 94115
(415) 354-4241

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date01-01-2019
Opt-Out End Date01-01-2023
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.