Jason Wayne Colby, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, California. His current practice location is
9320 Hollis St, Bloomington, California. You can reach out to his office (for appointments etc.) via phone at
(951) 532-9637.
Jason Wayne Colby is licensed to practice in California (license number LCSW110825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831804756.
Healthcare Provider's Profile
Full Name | Jason Wayne Colby |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 9320 Hollis St, Bloomington, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831804756
- Provider Enumeration Date: 01/16/2023
- Last Update Date: 01/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951308303
- Enrollment ID: I20230308003195
Medical Identifiers
Medical identifiers for Jason Wayne Colby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831804756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW110825 (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. Jason Wayne Colby allows following entities to bill medicare on his behalf.
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
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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. Jason Wayne Colby 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 |
Jason Wayne Colby, LCSW 9320 Hollis St, Bloomington, CA 92316-1447 Ph: (951) 532-9637 | Jason Wayne Colby, LCSW 9320 Hollis St, Bloomington, CA 92316-1447 Ph: (951) 532-9637 |
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