Olivia Blassingame, in Tupelo, MS - Medicare Counselor Provider

Olivia Blassingame, is a medicare enrolled "Counselor - Mental Health" provider in Tupelo, Mississippi. Her current practice location is 2434 S Eason Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 640-4595.

Olivia Blassingame is licensed to practice in * (Not Available) (license number ) 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 1609423797.

Contact Information

	Olivia Blassingame,
	2434 S Eason Blvd, Tupelo, MS 38804-6942
	(662) 640-4595
	(662) 680-6416

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia Blassingame
Gender	Female
Speciality	Counselor - Mental Health
Location	2434 S Eason Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609423797
Provider Enumeration Date: 08/22/2019
Last Update Date: 08/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0648619577
Enrollment ID: I20240411003030

Medical Identifiers

Medical identifiers for Olivia Blassingame such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609423797	NPI	-	NPPES
00018203	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Olivia Blassingame allows following entities to bill medicare on her behalf.

Entity Name	P & S Clinic Ob-gyn Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538215546 PECOS PAC ID: 5890896252 Enrollment ID: O20070730000234

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. Olivia Blassingame 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
Olivia Blassingame, 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595	Olivia Blassingame, 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595

Reviews and Comments

Counselor in Tupelo, MS

Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416
Mr. Richard Eugene Dunnam, NCAC II, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Boone St, Tupelo, MS 38804 Phone: 662-844-3531 Fax: 662-844-1757

Olivia Blassingame, - Medicare Counselor in Tupelo, MS