Leighellen Bane, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Cortez, Colorado. Her current practice location is
691 E Empire St, Cortez, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 903-6587.
Leighellen Bane is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093300212.
Healthcare Provider's Profile
| Full Name | Leighellen Bane |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 691 E Empire St, Cortez, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1093300212
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406212505
- Enrollment ID: I20230516001247
Medical Identifiers
Medical identifiers for Leighellen Bane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093300212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002260 (Colorado) | Secondary |
| 104100000X | Social Worker | 0009923313 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Leighellen Bane allows following entities to bill medicare on her behalf.
| Entity Name | Southwest Colorado Mental Health Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932192598
PECOS PAC ID: 9133011802
Enrollment ID: O20040326001177 |
|---|
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. Leighellen Bane 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 |
|---|
Leighellen Bane, LCSW, LAC
691 E Empire St,
Cortez, CO 81321-2802
Ph: (970) 903-6587 | Leighellen Bane, LCSW, LAC
691 E Empire St,
Cortez, CO 81321-2802
Ph: (970) 903-6587 |
Reviews and Comments