Dr Tobin Joshua Haas, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Boulder, Colorado. His current practice location is
1910 7th St, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 432-4678.
Dr Tobin Joshua Haas is licensed to practice in Colorado (license number 5400) 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 1629473186.
Healthcare Provider's Profile
| Full Name | Dr Tobin Joshua Haas |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1910 7th St, Boulder, Colorado |
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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: 1629473186
- Provider Enumeration Date: 10/27/2014
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315310471
- Enrollment ID: I20230310001483
Medical Identifiers
Medical identifiers for Dr Tobin Joshua Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629473186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 5400 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 5400 (Colorado) | 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 Tobin Joshua Haas allows following entities to bill medicare on his behalf.
| Entity Name | University Physicians Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375 |
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| Entity Name | Boulder Neuropsychological Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710607031
PECOS PAC ID: 6406229558
Enrollment ID: O20230310001379 |
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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 Tobin Joshua Haas 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 Tobin Joshua Haas, PSYD
37 Canyon View Rd,
Boulder, CO 80302-9634
Ph: (510) 908-0980 | Dr Tobin Joshua Haas, PSYD
1910 7th St,
Boulder, CO 80302
Ph: (720) 432-4678 |
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