Ms Melissa Sue Blackburn, LPC in Tishomingo, OK

Ms Melissa Sue Blackburn, LPC is a medicare enrolled "Counselor - Mental Health" provider in Tishomingo, Oklahoma. Her current practice location is 610 E 24th St, Tishomingo, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 371-2343.

Ms Melissa Sue Blackburn is licensed to practice in Oklahoma (license number LPC05238) 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 1376817031.

Contact Information

	Ms Melissa Sue Blackburn, LPC
	610 E 24th St, Tishomingo, OK 73460-3245
	(580) 371-2343
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Melissa Sue Blackburn
Gender	Female
Speciality	Counselor - Mental Health
Location	610 E 24th St, Tishomingo, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376817031
Provider Enumeration Date: 02/28/2012
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 7618325275
Enrollment ID: I20231121002189

Medical Identifiers

Medical identifiers for Ms Melissa Sue Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376817031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC05238 (Oklahoma)	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. Ms Melissa Sue Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Family Health Center Of Southern Oklahoma Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598803942 PECOS PAC ID: 4284537457 Enrollment ID: O20040127001108

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. Ms Melissa Sue Blackburn 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
Ms Melissa Sue Blackburn, LPC 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343	Ms Melissa Sue Blackburn, LPC 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343

Reviews and Comments

Counselor in Tishomingo, OK

Craig Kendall Edmondson, BS ED BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776
Brianna Megan Thompson, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-495-8613
Mrs. Jim Ann Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944
Mrs. Amanda Kay Blue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 West Main, Tishomingo, OK 73460 Phone: 580-371-8719
Mrs. Jayne Hull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Main St, Tishomingo, OK 73460 Phone: 580-371-3799
Will Haywood, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 Fax: 580-371-3651
Ms. Kelly Lynn Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 903-815-0843 Fax: 580-371-9944

Ms Melissa Sue Blackburn, LPC - Medicare Counselor in Tishomingo, OK