Jay Bastian Llc - Medicare Mental Health Clinic in Fort Wayne, IN

Jay Bastian Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fort Wayne, Indiana. The current practice location for Jay Bastian Llc is 9910 Dupont Circle Dr. Suite 140, Fort Wayne, Indiana. For appointments, you can reach them via phone at (260) 570-4515. The mailing address for Jay Bastian Llc is 9910 Dupont Circle Dr. Suite 140, Fort Wayne, Indiana and phone number is (260) 570-4515.

Jay Bastian Llc is licensed to practice in Indiana (license number 34007970A). The clinic also participates in the medicare program and its NPI number is 1740780204. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (260) 570-4515.

Contact Information

Jay Bastian Llc
9910 Dupont Circle Dr. Suite 140
Fort Wayne
IN 46825-1610
(260) 570-4515
(260) 209-0762

Map and Direction


Mental Health Clinic Profile

Full NameJay Bastian Llc
SpecialitySocial Worker
Location9910 Dupont Circle Dr. Suite 140, Fort Wayne, Indiana
Authorized Official Name and PositionJay Alan Bastian (PSYCHOTHERAPIST)
Authorized Official Contact2605704515
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jay Bastian Llc
9910 Dupont Circle Dr. Suite 140
Fort Wayne
IN 46825-1610

Ph: (260) 570-4515
Jay Bastian Llc
9910 Dupont Circle Dr. Suite 140
Fort Wayne
IN 46825-1610

Ph: (260) 570-4515

NPI Details:

NPI Number1740780204
Provider Enumeration Date02/20/2018
Last Update Date02/20/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9931529773
Medicare Enrollment IDO20201016002711

Medical Identifiers

Medical identifiers for Jay Bastian Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740780204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34007970A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jay Bastian Llc acts as a billing entity for following providers:
Provider NameJay A Bastian
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912363375
PECOS PAC ID: 0840610689
Enrollment ID: I20201020002847

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.