Jason Southwick, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Boise, Idaho. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 367-2121.
Jason Southwick is licensed to practice in Idaho (license number PSY - 202728) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538412382.
Healthcare Provider's Profile
Full Name | Jason Southwick |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 13 Years |
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Location | 1055 N Curtis Rd, Boise, Idaho |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jason Southwick graduated from medical school in 2011
NPI Data:
- NPI Number: 1538412382
- Provider Enumeration Date: 10/17/2012
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315173747
- Enrollment ID: I20131113001499
Medical Identifiers
Medical identifiers for Jason Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538412382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY - 202728 (Idaho) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY - 202728 (Idaho) | 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. Jason Southwick allows following entities to bill medicare on his behalf.
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
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Entity Name | Meridian Neuropsychology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321163 PECOS PAC ID: 6002139292 Enrollment ID: O20141218002135 |
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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 Southwick 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 Southwick, PHD Po Box 190930, Boise, ID 83719-0930 Ph: (082) 367-2121 | Jason Southwick, PHD 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-2121 |
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