Colin Michael Pryor, MSW, LCADC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. His current practice location is
239 Dougram Ave, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 552-8099.
Colin Michael Pryor is licensed to practice in Nevada (license number 9519-C) 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 1134645989.
Healthcare Provider's Profile
| Full Name | Colin Michael Pryor |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 239 Dougram Ave, Las Vegas, Nevada |
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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: 1134645989
- Provider Enumeration Date: 08/14/2017
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658600549
- Enrollment ID: I20190830002142
Medical Identifiers
Medical identifiers for Colin Michael Pryor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134645989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 06968-LC (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9519-C (Nevada) | 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. Colin Michael Pryor allows following entities to bill medicare on his behalf.
| Entity Name | Bridge Counseling Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740728716
PECOS PAC ID: 4486914975
Enrollment ID: O20180131003106 |
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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. Colin Michael Pryor 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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Colin Michael Pryor, MSW, LCADC, LCSW
239 Dougram Ave,
Las Vegas, NV 89101-5647
Ph: (631) 944-0969 | Colin Michael Pryor, MSW, LCADC, LCSW
239 Dougram Ave,
Las Vegas, NV 89101-5647
Ph: (702) 552-8099 |
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