Blake Liebenson, in New York, NY - Medicare Marriage & Family Therapist Provider

Blake Liebenson, is a medicare enrolled "Marriage & Family Therapist" provider in New York, New York. Her current practice location is 74 Saint Marks Pl, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 477-1565.

Blake Liebenson is licensed to practice in New York (license number 001397) 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 1861137473.

Contact Information

	Blake Liebenson,
	74 Saint Marks Pl, New York, NY 10003-8129
	(212) 477-1565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Liebenson
Gender	Female
Speciality	Marriage & Family Therapist
Location	74 Saint Marks Pl, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861137473
Provider Enumeration Date: 04/28/2022
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9638513815
Enrollment ID: I20240215001340

Medical Identifiers

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

Identifier	Type	State	Issuer
1861137473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	001397 (New York)	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 Liebenson allows following entities to bill medicare on her behalf.

Entity Name	Jewish Board Of Family & Childrens Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048

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 Liebenson 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 Liebenson, 74 Saint Marks Pl, New York, NY 10003-8129 Ph: () -	Blake Liebenson, 74 Saint Marks Pl, New York, NY 10003-8129 Ph: (212) 477-1565

Reviews and Comments

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Blake Liebenson, - Medicare Couples Therapy in New York, NY