Blake Eldon Crawford, in Upland, CA - Medicare Marriage & Family Therapist Provider

Blake Eldon Crawford, is a medicare enrolled "Marriage & Family Therapist" provider in Upland, California. His current practice location is 1425 W Foothill Blvd, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 980-6700.

Blake Eldon Crawford is licensed to practice in California (license number 136036) 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 1487030862.

Contact Information

	Blake Eldon Crawford,
	1425 W Foothill Blvd, Upland, CA 91786-8007
	(909) 980-6700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Eldon Crawford
Gender	Male
Speciality	Marriage & Family Therapist
Location	1425 W Foothill Blvd, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487030862
Provider Enumeration Date: 08/07/2015
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1759732381
Enrollment ID: I20240109000746

Medical Identifiers

Medical identifiers for Blake Eldon Crawford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487030862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	AMFT86176 (California)	Secondary
106H00000X	Marriage & Family Therapist	AMFT125194 (California)	Secondary
106H00000X	Marriage & Family Therapist	136036 (California)	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. Blake Eldon Crawford allows following entities to bill medicare on his behalf.

Entity Name	Mindful Lemon Marriage And Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487324463 PECOS PAC ID: 8921499096 Enrollment ID: O20211228000411

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. Blake Eldon Crawford 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
Blake Eldon Crawford, 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 Ph: (877) 527-7227	Blake Eldon Crawford, 1425 W Foothill Blvd, Upland, CA 91786-8007 Ph: (909) 980-6700

Reviews and Comments

Marriage & Family Therapist in Upland, CA

Danielle Clair, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 934 N Mountain Ave Ste A&b, Upland, CA 91786 Phone: 909-949-4667
Cecilia Fabris, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 818 N Mountain Ave Ste 219, Upland, CA 91786 Phone: 714-315-0939
Sharon Sanches, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1126 W Foothill Blvd, Ste 101, Upland, CA 91786 Phone: 909-559-9962
Tania Catano, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 818 N Mountain Ave, Upland, CA 91786 Phone: 909-319-7289
Sean D Stitt, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 870 N Mountain Ave Ste 206, Upland, CA 91786 Phone: 800-906-0862
Linda Tetu, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 390 N Euclid Ave, Upland, CA 91786 Phone: 909-949-1864
Patricia B. Fromer, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 600 N Mountain Ave, Suite D-202, Upland, CA 91786 Phone: 909-982-6800 Fax: 909-949-4394

Blake Eldon Crawford, - Medicare Couples Therapy in Upland, CA