Jonathan Daniel Colen, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jacksonville, Illinois. His current practice location is
1600 W Walnut St Fl 3, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 545-8000.
Jonathan Daniel Colen is licensed to practice in Illinois (license number 036-110038) 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 1336168012.
Physician's Profile
| Full Name | Jonathan Daniel Colen |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1600 W Walnut St Fl 3, Jacksonville, Illinois |
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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: 1336168012
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 11/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274430814
- Enrollment ID: I20031212000768
Medical Identifiers
Medical identifiers for Jonathan Daniel Colen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336168012 | NPI | - | NPPES |
| 036110038 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-110038 (Illinois) | 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. Jonathan Daniel Colen allows following entities to bill medicare on his behalf.
| Entity Name | Siu Physicians & Surgeons Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769 |
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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. Jonathan Daniel Colen 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 |
|---|
Jonathan Daniel Colen, DO
1600 W Walnut St Fl 3,
Jacksonville, IL 62650-1136
Ph: (217) 545-8000 | Jonathan Daniel Colen, DO
1600 W Walnut St Fl 3,
Jacksonville, IL 62650-1136
Ph: (217) 545-8000 |
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