Dr Jose Marcos Lafosse, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. His current practice location is
4080 Centre St Ste 104, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 964-0722.
Dr Jose Marcos Lafosse is licensed to practice in Colorado (license number 2278) 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 1306057260.
Healthcare Provider's Profile
| Full Name | Dr Jose Marcos Lafosse |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 4080 Centre St Ste 104, San Diego, 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: 1306057260
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789778879
- Enrollment ID: I20220408001414
Medical Identifiers
Medical identifiers for Dr Jose Marcos Lafosse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306057260 | NPI | - | NPPES |
| 2278 | Other | CO | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2278 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2278 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2278 (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 Jose Marcos Lafosse allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Neurobehavioral Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952724817
PECOS PAC ID: 9234454422
Enrollment ID: O20150210002211 |
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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 Jose Marcos Lafosse 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 Jose Marcos Lafosse, PHD
4251 Kipling St, Unit 565,
Wheat Ridge, CO 80033-2899
Ph: (720) 965-0055 | Dr Jose Marcos Lafosse, PHD
4080 Centre St Ste 104,
San Diego, CA 92103-2655
Ph: (858) 964-0722 |
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