Dr Jose Luis Casiano, PHD - Medicare Psychologist in Johnson City, TN

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Dr Jose Luis Casiano, PHD is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, Tennessee. His current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 673-6741.

Dr Jose Luis Casiano is licensed to practice in Puerto Rico (license number 1518) 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 1609966092.

Contact Information

Dr Jose Luis Casiano, PHD
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998
(865) 673-6741
(865) 673-6634

Map and Direction




Healthcare Provider's Profile

Full NameDr Jose Luis Casiano
GenderMale
SpecialityPsychologist - Clinical
Location119 Boone Ridge Dr, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609966092
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 04/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628377181
  • Enrollment ID: I20160504002021

Medical Identifiers

Medical identifiers for Dr Jose Luis Casiano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609966092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1518 (Puerto Rico)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. Dr Jose Luis Casiano allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20231206003761

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 Jose Luis Casiano 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 AddressPractice Location Address
Dr Jose Luis Casiano, PHD
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (865) 673-6741		Dr Jose Luis Casiano, PHD
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (865) 673-6741

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.