Dr Cheryl Rae Blank, PHD is a medicare enrolled "Psychologist" provider in Bozeman, Montana. She graduated from healthcare school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. 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 | Clinical Psychologist |
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| Experience | 36 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 graduated from medical school in 1988
NPI Data:
- NPI Number: 1932221058
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 01/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 0345259750
- Enrollment ID: I20060413000411
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 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 Cheryl Rae Blank allows following entities to bill medicare on her behalf.
| Entity Name | Cheryl Blank Phd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518159433
PECOS PAC ID: 4981613395
Enrollment ID: O20060412000761 |
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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 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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