Hillary S Blake, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. Her current practice location is
705 Riley Hospital Drive, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 944-8162.
Hillary S Blake is licensed to practice in Indiana (license number 20042875A) 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 1962836759.
Healthcare Provider's Profile
| Full Name | Hillary S Blake |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 705 Riley Hospital Drive, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962836759
- Provider Enumeration Date: 08/28/2013
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163728825
- Enrollment ID: I20160307002732
Medical Identifiers
Medical identifiers for Hillary S Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962836759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 20042875A (Indiana) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 20042875A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20042875A (Indiana) | 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. Hillary S Blake allows following entities to bill medicare on her behalf.
| Entity Name | Indiana University Health Care Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955 |
|---|
| Entity Name | Indiana Clinic-neurology, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578792271
PECOS PAC ID: 3678626140
Enrollment ID: O20090730000467 |
|---|
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. Hillary S 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 |
|---|
Hillary S Blake, PSYD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Hillary S Blake, PSYD
705 Riley Hospital Drive,
Indianapolis, IN 46219-4959
Ph: (317) 944-8162 |
Reviews and Comments