Colin Spake, FNP in Sausalito, CA - Medicare Nurse Practitioner

Colin Spake, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sausalito, California. His current practice location is 630 Drake Ave, Sausalito, California. You can reach out to his office (for appointments etc.) via phone at (415) 339-8813.

Colin Spake is licensed to practice in California (license number 22806) 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 1730522475.

Contact Information

	Colin Spake, FNP
	630 Drake Ave, Sausalito, CA 94965-1107
	(415) 339-8813
	(415) 339-8814

Map and Direction

Provider's Profile

Full Name	Colin Spake
Gender	Male
Speciality	Nurse Practitioner - Family
Location	630 Drake Ave, Sausalito, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730522475
Provider Enumeration Date: 04/11/2013
Last Update Date: 11/01/2013

Medicare PECOS Information:

PECOS PAC ID: 0446470496
Enrollment ID: I20140925002019

Medical Identifiers

Medical identifiers for Colin Spake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730522475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	789899 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	22806 (California)	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. Colin Spake allows following entities to bill medicare on his behalf.

Entity Name	Marin City Health And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285804948 PECOS PAC ID: 1052451259 Enrollment ID: O20091221000011

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. Colin Spake 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
Colin Spake, FNP 229 Rhonda Way, Mill Valley, CA 94941-3481 Ph: (415) 419-4111	Colin Spake, FNP 630 Drake Ave, Sausalito, CA 94965-1107 Ph: (415) 339-8813

Reviews and Comments

Nurse Practitioner Nurses in Sausalito, CA

Jose Ayala-carrillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Harbor Dr Ste 300, Sausalito, CA 94965 Phone: 925-550-4459
Dr. Gary Keith Hermansen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Donahue St, Sausalito, CA 94965 Phone: 415-535-3659
Kimberly Allison Cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Harbor Dr Ste 300, Sausalito, CA 94965 Phone: 760-284-4493
Shannon Wozniak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-339-8813
Namuun Clifford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-339-8813 Fax: 415-339-8814
Alethea Jeanne Fournier, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438a Sausalito Blvd, Sausalito, CA 94965 Phone: 206-225-7273
Tatiana Eloisa Huezo, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3 Harbor Dr Ste 111, Sausalito, CA 94965 Phone: 415-683-2988 Fax: 415-683-2980

Colin Spake, FNP - Medicare Nurse Practitioner in Sausalito, CA