Jason Thomas Speaks, PHD, FNP-C, RN is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Galt, California. His current practice location is
750 Spaans Dr, Ste C, D And F, Galt, California. You can reach out to his office (for appointments etc.) via phone at
(209) 744-9909.
Jason Thomas Speaks is licensed to practice in California (license number 22258) 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 1902140007.
Physician's Profile
| Full Name | Jason Thomas Speaks |
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| Gender | Male |
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| Speciality | Family Medicine - Addiction Medicine |
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| Location | 750 Spaans Dr, Galt, California |
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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: 1902140007
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 10/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234350513
- Enrollment ID: I20221014000202
Medical Identifiers
Medical identifiers for Jason Thomas Speaks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902140007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 22258 (California) | Primary |
| 363L00000X | Nurse Practitioner | 22258 (California) | Secondary |
| 163W00000X | Registered Nurse | 824970 (California) | Secondary |
| 251E00000X | Home Health | 22258 (California) | Secondary |
| 363LC1500X | Nurse Practitioner - Community Health | 22258 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 22258 (California) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 22258 (California) | Secondary |
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. Jason Thomas Speaks allows following entities to bill medicare on his behalf.
| Entity Name | Associated Family Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962565556
PECOS PAC ID: 6800788829
Enrollment ID: O20091207000551 |
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| Entity Name | Signify Health Medical Associates Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320 |
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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. Jason Thomas Speaks 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 |
|---|
Jason Thomas Speaks, PHD, FNP-C, RN
1191 Malcolm Dixon Rd,
El Dorado Hills, CA 95762-3821
Ph: (415) 696-1696 | Jason Thomas Speaks, PHD, FNP-C, RN
750 Spaans Dr, Ste C, D And F,
Galt, CA 95632-8609
Ph: (209) 744-9909 |
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