Dr Sara L Colby, MD is a medicare enrolled "Specialist" physician in San Jose, California. She graduated from medical school in 1978 and has 47 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is
2400 Samaritan Dr Ste 203, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 369-5600.
Dr Sara L Colby is licensed to practice in California (license number G48767) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821178716.
Physician's Profile
| Full Name | Dr Sara L Colby |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 47 Years |
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| Location | 2400 Samaritan Dr Ste 203, San Jose, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Sara L Colby graduated from medical school in 1978
NPI Data:
- NPI Number: 1821178716
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678536125
- Enrollment ID: I20250609001581
Medical Identifiers
Medical identifiers for Dr Sara L Colby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821178716 | NPI | - | NPPES |
| G48767 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 141253 (Montana) | Secondary |
| 174400000X | Specialist | G48767 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner Cancer Center Specialists Llc | 6103097779 | 281 |
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. Dr Sara L Colby allows following entities to bill medicare on her behalf.
| Entity Name | Banner Cancer Center Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224 |
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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. Dr Sara L Colby 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 |
|---|
Dr Sara L Colby, MD
2400 Samaritan Dr Ste 203,
San Jose, CA 95124-3910
Ph: (408) 369-5600 | Dr Sara L Colby, MD
2400 Samaritan Dr Ste 203,
San Jose, CA 95124-3910
Ph: (408) 369-5600 |
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