Dr Justin Leazenby, - Medicare Psychologist in Elk Grove, CA

Dr Justin Leazenby, is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove, California. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Memory Check Psychological Services, A Professional Corporation and his current practice location is 9324 W Stockton Blvd, Elk Grove, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-2615.

Dr Justin Leazenby is licensed to practice in California (license number PSY27882) 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 1275997579.

Contact Information

Dr Justin Leazenby,
9324 W Stockton Blvd,
Elk Grove, CA 95758-8012
(707) 651-2615
Not Available



Healthcare Provider's Profile

Full NameDr Justin Leazenby
GenderMale
SpecialityClinical Psychologist
Experience10 Years
Location9324 W Stockton Blvd, Elk Grove, California
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:
  • Dr Justin Leazenby graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1275997579
  • Provider Enumeration Date: 04/12/2016
  • Last Update Date: 01/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597012559
  • Enrollment ID: I20180720003143

Medical Identifiers

Medical identifiers for Dr Justin Leazenby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275997579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Secondary
103TC0700XPsychologist - Clinical PSY27882 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memory Check Psychological Services, A Professional Corporation741685642262

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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 Justin Leazenby allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameMemory Check Psychological Services, A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021

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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 Justin Leazenby 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 Justin Leazenby,
800 Sereno Dr,
Vallejo, CA 94589-2411

Ph: () -
Dr Justin Leazenby,
9324 W Stockton Blvd,
Elk Grove, CA 95758-8012

Ph: (707) 651-2615

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Psychologist in Elk Grove, CA

Ms. Cherise Irby, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758
Phone: 916-691-6930    
Angela Sherman,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758
Phone: 650-248-8243    
Dr. Paula R Smith, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758
Phone: 916-478-5868    Fax: 916-478-5830
Dr. Marc J. Becker, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758
Phone: 916-478-5879    
Dr. Kenneth Emerson Rogers, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 9324 W Stockton Blvd, Elk Grove, CA 95758
Phone: 916-478-7716    Fax: 916-478-7760
Alyssa Nicole Feliciano,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9328 Channel Islands St, Elk Grove, CA 95624
Phone: 916-229-2940    
Mr. Jonathan James Yip, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 8220 Longleaf Dr, Elk Grove, CA 95758
Phone: 209-450-5614    

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