Sam Colby, ASW is a medicare enrolled "Social Worker - Clinical" provider in Sacramento, California. His current practice location is
811 Grand Ave, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 922-9868.
Sam Colby is licensed to practice in * (Not Available) (license number ) 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 1174912232.
Healthcare Provider's Profile
| Full Name | Sam Colby |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 811 Grand Ave, Sacramento, California |
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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: 1174912232
- Provider Enumeration Date: 01/13/2015
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486002698
- Enrollment ID: I20231129000976
Medical Identifiers
Medical identifiers for Sam Colby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174912232 | NPI | - | NPPES |
| 1041C0700X | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 97119 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Sam Colby allows following entities to bill medicare on his behalf.
| Entity Name | Cares Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447297379
PECOS PAC ID: 2769418151
Enrollment ID: O20050718000377 |
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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. Sam 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 |
|---|
Sam Colby, ASW
811 Grand Ave Ste D,
Sacramento, CA 95838-3466
Ph: () - | Sam Colby, ASW
811 Grand Ave,
Sacramento, CA 95838-3466
Ph: (916) 922-9868 |
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