Tisha Blakeley, LCSW in Hopkinsville, KY - Medicare Social Worker Provider

Tisha Blakeley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hopkinsville, Kentucky. Her current practice location is 735 North Dr, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 886-5163.

Tisha Blakeley is licensed to practice in Kentucky (license number 5046) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295157238.

Contact Information

	Tisha Blakeley, LCSW
	735 North Dr, Hopkinsville, KY 42240-2620
	(270) 886-5163
	(270) 886-5178

Map and Direction

Healthcare Provider's Profile

Full Name	Tisha Blakeley
Gender	Female
Speciality	Social Worker - Clinical
Location	735 North Dr, Hopkinsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295157238
Provider Enumeration Date: 01/10/2014
Last Update Date: 02/19/2016

Medicare PECOS Information:

PECOS PAC ID: 5799095873
Enrollment ID: I20151102000331

Medical Identifiers

Medical identifiers for Tisha Blakeley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295157238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5046 (Kentucky)	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. Tisha Blakeley allows following entities to bill medicare on her behalf.

Entity Name	Lifeskills, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330

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. Tisha Blakeley 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
Tisha Blakeley, LCSW Po Box 614, Hopkinsville, KY 42241-0614 Ph: (270) 886-2205	Tisha Blakeley, LCSW 735 North Dr, Hopkinsville, KY 42240-2620 Ph: (270) 886-5163

Reviews and Comments

Social Worker in Hopkinsville, KY

Ms. Rebecca A Barron, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2122 S Main St, Hopkinsville, KY 42240 Phone: 803-240-5747
Amy Nightingale, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 735 North Dr, Hopkinsville, KY 42240 Phone: 270-886-5163
Amber Nechole Hackney, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 737b North Dr, Hopkinsville, KY 42240 Phone: 270-881-9551
Lee Cavender, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1705 Mosley Dr, Hopkinsville, KY 42240 Phone: 828-407-8987
Jeremy Daniel Seffens, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 North Dr, Hopkinsville, KY 42240 Phone: 270-886-5163 Fax: 270-886-5178
Erin Knight, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 735 North Dr, Hopkinsville, KY 42240 Phone: 270-886-5163 Fax: 270-886-5178
Dana Nethery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 W 18th St, Hopkinsville, KY 42240 Phone: 270-886-4625 Fax: 270-886-6619

Tisha Blakeley, LCSW - Medicare Clinical Social Worker in Hopkinsville, KY