Jesse Villanueba, is a medicare enrolled "Social Worker - Clinical" provider in Durango, Colorado. His current practice location is
150 Mercury Village Dr, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 335-2422.
Jesse Villanueba is licensed to practice in Colorado (license number CSW.09930906) 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 1235856162.
Healthcare Provider's Profile
| Full Name | Jesse Villanueba |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 150 Mercury Village Dr, Durango, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235856162
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153854252
- Enrollment ID: I20241029000023
Medical Identifiers
Medical identifiers for Jesse Villanueba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235856162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002096 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09930906 (Colorado) | 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. Jesse Villanueba allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Colorado Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932192598
PECOS PAC ID: 9133011802
Enrollment ID: O20040326001177 |
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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. Jesse Villanueba 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 |
|---|
Jesse Villanueba,
Po Box 1328,
Durango, CO 81302-1328
Ph: (970) 259-2162 | Jesse Villanueba,
150 Mercury Village Dr,
Durango, CO 81301-8955
Ph: (970) 335-2422 |
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