Jesse Villanueba, is a medicare enrolled "Social Worker - Clinical" provider in Durango, Colorado. He graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Southwest Colorado Mental Health Center Inc and his current practice location is
150 Mercury Village Dr, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 335-2422.
Jesse Villanueba is licensed to practice in Colorado (license number CSW.09930906) 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 1235856162.
Healthcare Provider's Profile
| Full Name | Jesse Villanueba |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 150 Mercury Village Dr, Durango, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jesse Villanueba graduated from medical school in 2022
NPI Data:
- NPI Number: 1235856162
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153854252
- Enrollment ID: I20241029000023
Medical Identifiers
Medical identifiers for Jesse Villanueba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235856162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002096 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09930906 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Colorado Mental Health Center Inc | 9133011802 | 25 |
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. Jesse Villanueba allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Colorado Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932192598
PECOS PAC ID: 9133011802
Enrollment ID: O20040326001177 |
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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. Jesse Villanueba 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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Jesse Villanueba,
Po Box 1328,
Durango, CO 81302-1328
Ph: (970) 259-2162 | Jesse Villanueba,
150 Mercury Village Dr,
Durango, CO 81301-8955
Ph: (970) 335-2422 |
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