Dr Noah M Reaven, LCP is a medicare enrolled "Psychologist - Clinical" in Denver, Colorado. His current practice location is
10350 E Dakota Ave, Ste B, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 338-4545.
Dr Noah M Reaven is licensed to practice in Colorado (license number 1222) 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 1982748687.
Provider's Profile
| Full Name | Dr Noah M Reaven |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 10350 E Dakota Ave, Denver, 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: 1982748687
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527135912
- Enrollment ID: I20080926000539
Medical Identifiers
Medical identifiers for Dr Noah M Reaven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982748687 | NPI | - | NPPES |
| 07012222 | Medicaid | CO | |
| 004137 | Other | | KAISER-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 1222 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1222 (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. Dr Noah M Reaven allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Permanente Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640 |
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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. Dr Noah M Reaven 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 |
|---|
Dr Noah M Reaven, LCP
10350 E Dakota Ave,
Denver, CO 80247-1314
Ph: () - | Dr Noah M Reaven, LCP
10350 E Dakota Ave, Ste B,
Denver, CO 80247-1314
Ph: (303) 338-4545 |
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