Dr Jason Davis Mccraw, DC is a medicare enrolled "Chiropractor" provider in Clearlake, California. His current practice location is
15230 Lakeshore Dr, Clearlake, California. You can reach out to his office (for appointments etc.) via phone at
(707) 995-4500.
Dr Jason Davis Mccraw is licensed to practice in California (license number 33926) 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 1568904969.
Healthcare Provider's Profile
| Full Name | Dr Jason Davis Mccraw |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 15230 Lakeshore Dr, Clearlake, 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: 1568904969
- Provider Enumeration Date: 11/16/2016
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375824782
- Enrollment ID: I20200115001379
Medical Identifiers
Medical identifiers for Dr Jason Davis Mccraw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568904969 | NPI | - | NPPES |
| 271532466 | Other | | GROUP NPI 1477811750 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CHIA-1745 (Idaho) | Secondary |
| 111N00000X | Chiropractor | 33926 (California) | 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 Jason Davis Mccraw allows following entities to bill medicare on his behalf.
| Provider Name | Western Sierra Medical Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851513469
PECOS PAC ID: 3971571217
Enrollment ID: O20040923000686 |
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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 Jason Davis Mccraw 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 Jason Davis Mccraw, DC
15230 Lakeshore Dr,
Clearlake, CA 95422-8107
Ph: (707) 995-4500 | Dr Jason Davis Mccraw, DC
15230 Lakeshore Dr,
Clearlake, CA 95422-8107
Ph: (707) 995-4500 |
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