Dr Cheryl Rae Blank, PHD is a medicare enrolled "Psychologist" provider in Bozeman, Montana. Her current practice location is
121 W Kagy Blvd, Bozeman, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 587-7468.
Dr Cheryl Rae Blank is licensed to practice in Montana (license number 202) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932221058.
Healthcare Provider's Profile
| Full Name | Dr Cheryl Rae Blank |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 121 W Kagy Blvd, Bozeman, Montana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cheryl Rae Blank attended and graduated from in
NPI Data:
- NPI Number: 1932221058
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 01/03/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Cheryl Rae Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932221058 | NPI | - | NPPES |
| 51011 | Other | MT | BLUE CROSS - MSU |
| 0000490807 | Medicaid | MT | |
| 264349 | Other | MT | NEW WEST |
| 86-1155463 | Other | MT | TRI CARE |
| 52820 | Other | MT | BLUE CROSS - PRIVATE PRAC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 457 (Montana) | Secondary |
| 103T00000X | Psychologist | 202 (Montana) | Primary |
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 Cheryl Rae Blank 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 |
|---|
Dr Cheryl Rae Blank, PHD
4744 Itana Cir,
Bozeman, MT 59715-9330
Ph: (406) 579-2427 | Dr Cheryl Rae Blank, PHD
121 W Kagy Blvd,
Bozeman, MT 59715-6000
Ph: (406) 587-7468 |
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