Michael W Colburn, DPM is a medicare enrolled "Podiatrist" provider in Lafayette, California. His current practice location is
911 Moraga Rd Ste 101, Lafayette, California. You can reach out to his office (for appointments etc.) via phone at
(925) 962-9120.
Michael W Colburn is licensed to practice in California (license number E2942) 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 1174601264.
Healthcare Provider's Profile
| Full Name | Michael W Colburn |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 911 Moraga Rd Ste 101, Lafayette, 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: 1174601264
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 11/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 3476718933
- Enrollment ID: I20120706000464
Medical Identifiers
Medical identifiers for Michael W Colburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174601264 | NPI | - | NPPES |
| 000E29420 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | E2942 (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. Michael W Colburn allows following entities to bill medicare on his behalf.
| Provider Name | For Feet Sake Podiatry Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811921851
PECOS PAC ID: 0143246686
Enrollment ID: O20051024000473 |
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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. Michael W Colburn 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 |
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Michael W Colburn, DPM
1050 Murrieta Blvd,
Livermore, CA 94550-4111
Ph: (925) 455-1555 | Michael W Colburn, DPM
911 Moraga Rd Ste 101,
Lafayette, CA 94549-4591
Ph: (925) 962-9120 |
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