Mr Daniel Blank, MED, LPC in Westampton, NJ - Medicare Counselor Provider

Mr Daniel Blank, MED, LPC is a medicare enrolled "Counselor" provider in Westampton, New Jersey. His current practice location is 795 Woodlane Rd, Suit 301, Westampton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 288-3056.

Mr Daniel Blank is licensed to practice in New Jersey (license number 37PC00447900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194124289.

Contact Information

	Mr Daniel Blank, MED, LPC
	795 Woodlane Rd, Suit 301, Westampton, NJ 08060-3832
	(609) 288-3056
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Daniel Blank
Gender	Male
Speciality	Counselor
Location	795 Woodlane Rd, Westampton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194124289
Provider Enumeration Date: 08/14/2014
Last Update Date: 05/01/2015

Medicare PECOS Information:

PECOS PAC ID: 0749623221
Enrollment ID: I20240212003586

Medical Identifiers

Medical identifiers for Mr Daniel Blank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194124289	NPI	-	NPPES
37PC00447900	Other	NJ	BOARD OF MARRAIGE AND FAMILY THERAPY OF NEW JERSERY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	37PC00447900 (New Jersey)	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. Mr Daniel Blank allows following entities to bill medicare on his behalf.

Entity Name	Legacy Treatment Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854

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. Mr Daniel 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
Mr Daniel Blank, MED, LPC 795 Woodlane Rd, Suit 301, Westampton, NJ 08060-3832 Ph: (609) 288-3056	Mr Daniel Blank, MED, LPC 795 Woodlane Rd, Suit 301, Westampton, NJ 08060-3832 Ph: (609) 288-3056

Reviews and Comments

Counselor in Westampton, NJ

Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928

Mr Daniel Blank, MED, LPC - Medicare Counselor in Westampton, NJ