Ms Regina Roschele Blaine, in Los Angeles, CA

Ms Regina Roschele Blaine, is a medicare enrolled "Counselor - Mental Health" provider in Los Angeles, California. Her current practice location is 4211 Avalon Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 432-5185.

Ms Regina Roschele Blaine is licensed to practice in California (license number 29689) 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 1316114762.

Contact Information

	Ms Regina Roschele Blaine,
	4211 Avalon Blvd, Los Angeles, CA 90011-5622
	(323) 432-5185
	(323) 432-5086

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Regina Roschele Blaine
Gender	Female
Speciality	Counselor - Mental Health
Location	4211 Avalon Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316114762
Provider Enumeration Date: 05/14/2008
Last Update Date: 08/31/2016

Medicare PECOS Information:

PECOS PAC ID: 5597168377
Enrollment ID: I20220509000373

Medical Identifiers

Medical identifiers for Ms Regina Roschele Blaine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316114762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	29689 (California)	Primary
1041C0700X	Social Worker - Clinical	70018 (California)	Secondary

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 Regina Roschele Blaine allows following entities to bill medicare on her behalf.

Entity Name	California Telemedicine Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073153250 PECOS PAC ID: 7517371859 Enrollment ID: O20210128001414

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 Regina Roschele Blaine 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 Regina Roschele Blaine, 698 Orange Ave Apt 302, Long Beach, CA 90802-1777 Ph: () -	Ms Regina Roschele Blaine, 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 432-5185

Reviews and Comments

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Ms Regina Roschele Blaine, - Medicare Counselor in Los Angeles, CA