Jason Southwick, PHD - Medicare in Boise, ID

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.

Contact Information

Jason Southwick, PHD
1055 N Curtis Rd,
Boise, ID 83706-1309
(208) 367-2121
Not Available



Healthcare Provider's Profile

Full NameJason Southwick
GenderMale
SpecialityClinical Psychologist
Experience13 Years
Location1055 N Curtis Rd, Boise, Idaho
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1538412382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY - 202728 (Idaho)Secondary
103G00000XClinical 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 NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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Entity NameMeridian Neuropsychology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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