Dr Fabian Alexandro Consbruck, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Castle Rock, Colorado. His current practice location is
3855 Ambrosia St Ste 302, Castle Rock, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 340-8290.
Dr Fabian Alexandro Consbruck is licensed to practice in Colorado (license number PSY.0004889) 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 1740764158.
Healthcare Provider's Profile
| Full Name | Dr Fabian Alexandro Consbruck |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 3855 Ambrosia St Ste 302, Castle Rock, 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: 1740764158
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193158095
- Enrollment ID: I20191206002230
Medical Identifiers
Medical identifiers for Dr Fabian Alexandro Consbruck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740764158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY.0004889 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 10642 (Florida) | Secondary |
| 103TH0004X | Psychologist - Health | PSY.0004889 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY.0004889 (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 Fabian Alexandro Consbruck allows following entities to bill medicare on his behalf.
| Entity Name | Thrive Behavioral Sciences Tampa Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962989806
PECOS PAC ID: 2961747506
Enrollment ID: O20181231000019 |
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| Entity Name | Thrive Behavioral Sciences- Orlando Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063979730
PECOS PAC ID: 9739420654
Enrollment ID: O20190402002627 |
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| Entity Name | Integrated Healthcare Technologies Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609626233
PECOS PAC ID: 4688116726
Enrollment ID: O20240605000429 |
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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 Fabian Alexandro Consbruck 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 |
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Dr Fabian Alexandro Consbruck, PSYD
3855 Ambrosia St Ste 302,
Castle Rock, CO 80109-3959
Ph: (720) 340-8290 | Dr Fabian Alexandro Consbruck, PSYD
3855 Ambrosia St Ste 302,
Castle Rock, CO 80109-3959
Ph: (720) 340-8290 |
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