Prudencio Cosyleon, LCSW in Pueblo, CO - Medicare Social Worker Provider

Prudencio Cosyleon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. His current practice location is 417 W 13th St, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 544-0877.

Prudencio Cosyleon is licensed to practice in Colorado (license number 991432) 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 1083775498.

Contact Information

	Prudencio Cosyleon, LCSW
	417 W 13th St, Pueblo, CO 81003-2703
	(719) 544-0877
	(719) 544-2033

Map and Direction

Healthcare Provider's Profile

Full Name	Prudencio Cosyleon
Gender	Male
Speciality	Social Worker - Clinical
Location	417 W 13th St, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083775498
Provider Enumeration Date: 12/12/2006
Last Update Date: 03/14/2016

Medicare PECOS Information:

PECOS PAC ID: 2961661038
Enrollment ID: I20120312000323

Medical Identifiers

Medical identifiers for Prudencio Cosyleon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083775498	NPI	-	NPPES
350465YLQP	Other	CO	MEDICARE
02259800	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	991432 (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. Prudencio Cosyleon allows following entities to bill medicare on his behalf.

Entity Name	Pueblo Community Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171

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. Prudencio Cosyleon 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
Prudencio Cosyleon, LCSW 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711	Prudencio Cosyleon, LCSW 417 W 13th St, Pueblo, CO 81003-2703 Ph: (719) 544-0877

Reviews and Comments

Social Worker in Pueblo, CO

James Arthur Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 Cedar St, Pueblo, CO 81004 Phone: 719-545-0578
Jeremy Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Lehigh Ave, Pueblo, CO 81005 Phone: 719-549-7843
Ms. Mary Alice Mehess, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Tamar Ct, Pueblo, CO 81005 Phone: 719-568-2531
Desiree Butcher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 E 7th St, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-0171
Karen Marie Irick, LCSW, LAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1530 W 17th St, Pueblo, CO 81003 Phone: 719-544-3150
Justin M Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-584-5183 Fax: 719-584-5496

Prudencio Cosyleon, LCSW - Medicare Clinical Social Worker in Pueblo, CO