Andrea Blake, MA in Port Angeles, WA - Medicare Counselor Provider

Andrea Blake, MA is a medicare enrolled "Counselor - Mental Health" provider in Port Angeles, Washington. Her current practice location is 118 E 8th St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 457-0431.

Andrea Blake is licensed to practice in Washington (license number LH60910995) 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 1871954941.

Contact Information

	Andrea Blake, MA
	118 E 8th St, Port Angeles, WA 98362-6129
	(360) 457-0431
	(360) 457-0493

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Blake
Gender	Female
Speciality	Counselor - Mental Health
Location	118 E 8th St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871954941
Provider Enumeration Date: 03/16/2016
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0941653455
Enrollment ID: I20240131004847

Medical Identifiers

Medical identifiers for Andrea Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871954941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60910995 (Washington)	Primary
101YM0800X	Counselor - Mental Health	MC 60631603 (Washington)	Secondary

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. Andrea Blake allows following entities to bill medicare on her behalf.

Entity Name	Peninsula Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760519060 PECOS PAC ID: 7416845870 Enrollment ID: O20040503001304

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. Andrea Blake 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
Andrea Blake, MA 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431	Andrea Blake, MA 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431

Reviews and Comments

Counselor in Port Angeles, WA

Deborah Fredson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Nicole Lynn Moreira, MA, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Laura Lee Eliason, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Ms. Roberta L Charles, ME, CAS,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Charles Rd, Port Angeles, WA 98363 Phone: 360-460-5963
Kevin Dean Collins, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Port Angeles, WA 98362 Phone: 360-452-4432 Fax: 360-452-4599
Teresa Mckenzie, CO60123119 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Suite 2, Port Angeles, WA 98362 Phone: 360-452-9836
Cypress Bergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493

Andrea Blake, MA - Medicare Counselor in Port Angeles, WA