Dr Brent Blaisdell, PHD in Ogden, UT - Medicare Marriage & Family Therapist Provider

Dr Brent Blaisdell, PHD is a medicare enrolled "Marriage & Family Therapist" provider in Ogden, Utah. His current practice location is 4403 Harrison Blvd, Suite A-700, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-5300.

Dr Brent Blaisdell is licensed to practice in Utah (license number 273961-3902) 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 1528461241.

Contact Information

	Dr Brent Blaisdell, PHD
	4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271
	(801) 387-5300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brent Blaisdell
Gender	Male
Speciality	Marriage & Family Therapist
Location	4403 Harrison Blvd, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528461241
Provider Enumeration Date: 10/08/2014
Last Update Date: 02/03/2015

Medicare PECOS Information:

PECOS PAC ID: 1557706264
Enrollment ID: I20240304001356

Medical Identifiers

Medical identifiers for Dr Brent Blaisdell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528461241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	273961-3902 (Utah)	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. Dr Brent Blaisdell allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Dr Brent Blaisdell 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
Dr Brent Blaisdell, PHD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-5300	Dr Brent Blaisdell, PHD 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 Ph: (801) 387-5300

Reviews and Comments

Marriage & Family Therapist in Ogden, UT

Gregory Noel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2909 Washington Blvd Ste 151, Ogden, UT 84401 Phone: 435-574-9731
Ms. Lisa Frew Mccormack, INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 S 500 E Ste 6, Ogden, UT 84405 Phone: 801-392-0942 Fax: 801-392-0943
Emil Frank Harker, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1525 Lincoln Ave, Ogden, UT 84404 Phone: 801-521-6510
Harold Orlando Monson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3734
Steven Shawn Stringham, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2485 Grant Ave # 315, Ogden, UT 84401 Phone: 435-315-2520
Angela Pearson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5195 S 200 E, Ogden, UT 84405 Phone: 801-631-2380
Mr. Bryan D Bingham, LMFT MS Couples Therapy Medicare: Medicare Enrolled Practice Location: 237 26th Street, Ogden, UT 84401 Phone: 801-625-3605 Fax: 801-625-3615

Dr Brent Blaisdell, PHD - Medicare Couples Therapy in Ogden, UT