Jason Ryan Mammino, in Castle Rock, CO

Jason Ryan Mammino, is a medicare enrolled "Dermatology" physician in Castle Rock, Colorado. His current practice location is 4344 Woodlands Blvd Ste 160, Castle Rock, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 350-4500.

Jason Ryan Mammino is licensed to practice in Colorado (license number 0066760) 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 1548757073.

Contact Information

	Jason Ryan Mammino,
	4344 Woodlands Blvd Ste 160, Castle Rock, CO 80104-2801
	(303) 350-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Ryan Mammino
Gender	Male
Speciality	Dermatology
Location	4344 Woodlands Blvd Ste 160, Castle Rock, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548757073
Provider Enumeration Date: 04/19/2018
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5698156784
Enrollment ID: I20220720003733

Medical Identifiers

Medical identifiers for Jason Ryan Mammino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548757073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	0066760 (Colorado)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Ryan Mammino allows following entities to bill medicare on his behalf.

Entity Name	Advanced Dermatology Of Colorado Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710370648 PECOS PAC ID: 8325337330 Enrollment ID: O20160516000185

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 Ryan Mammino 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 Ryan Mammino, 4344 Woodlands Blvd Ste 160, Castle Rock, CO 80104-2801 Ph: (303) 350-4500	Jason Ryan Mammino, 4344 Woodlands Blvd Ste 160, Castle Rock, CO 80104-2801 Ph: (303) 350-4500

Reviews and Comments

Dermatology Doctors in Castle Rock, CO

James Daniel Jensen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 Phone: 720-686-7546 Fax: 720-686-7544
Amy M Broomer, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 755 Maleta Lane, Castle Rock, CO 80108 Phone: 303-688-6355 Fax: 303-688-6876
Allison Marquis, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4350 Limelight Ave Ste 205, Castle Rock, CO 80109 Phone: 720-686-7546
Dr. Tracy A. Haines, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4350 Limelight Ave Ste 205, Castle Rock, CO 80109 Phone: 720-686-7546 Fax: 720-686-7544
David C Hahn, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104 Phone: 303-338-4545
Adam Vaudreuil, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1175 S Perry St Ste 220, Castle Rock, CO 80104 Phone: 720-615-6400

Jason Ryan Mammino, - Medicare Dermatology in Castle Rock, CO