Dr Justin Leazenby, in Elk Grove, CA - Medicare Clinical Psychologist Provider

Dr Justin Leazenby, is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove, California. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Memory Check Psychological Services, A Professional Corporation and his current practice location is 9324 W Stockton Blvd, Elk Grove, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-2615.

Dr Justin Leazenby is licensed to practice in California (license number PSY27882) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275997579.

Contact Information

	Dr Justin Leazenby,
	9324 W Stockton Blvd, Elk Grove, CA 95758-8012
	(707) 651-2615
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Justin Leazenby
Gender	Male
Speciality	Clinical Psychologist
Experience	10 Years
Location	9324 W Stockton Blvd, Elk Grove, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Justin Leazenby graduated from medical school in 2014

NPI Data:

NPI Number: 1275997579
Provider Enumeration Date: 04/12/2016
Last Update Date: 01/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5597012559
Enrollment ID: I20180720003143

Medical Identifiers

Medical identifiers for Dr Justin Leazenby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275997579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PSY27882 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memory Check Psychological Services, A Professional Corporation	7416856422	74

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 Justin Leazenby allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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 Justin Leazenby 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 Justin Leazenby, 800 Sereno Dr, Vallejo, CA 94589-2411 Ph: () -	Dr Justin Leazenby, 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 Ph: (707) 651-2615

Reviews and Comments

Psychologist in Elk Grove, CA

Ms. Cherise Irby, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758 Phone: 916-691-6930
Angela Sherman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758 Phone: 650-248-8243
Dr. Paula R Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5868 Fax: 916-478-5830
Dr. Marc J. Becker, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5879
Dr. Kenneth Emerson Rogers, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9324 W Stockton Blvd, Elk Grove, CA 95758 Phone: 916-478-7716 Fax: 916-478-7760
Alyssa Nicole Feliciano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9328 Channel Islands St, Elk Grove, CA 95624 Phone: 916-229-2940
Dr. Kayla Trejo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12500 Bruceville Rd, Elk Grove, CA 95757 Phone: 916-874-3776

Dr Justin Leazenby, - Medicare Psychologist in Elk Grove, CA