Mr Blake Denver Altom, MS, MFT INTERN - Couples Therapy in Logan, UT

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Mr Blake Denver Altom, MS, MFT INTERN is a Foster Care Agency based in Logan, Utah. Mr Blake Denver Altom is licensed to practice in * (Not Available) (license number ) and his current practice location is 242 Rosewood Cir, Logan, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 512-1304.

NPI number for Mr Blake Denver Altom is 1255657201 and his current mailing address is 242 Rosewood Cir, Logan, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255657201.

Contact Information

Mr Blake Denver Altom, MS, MFT INTERN
242 Rosewood Cir,
Logan, UT 84321-5045
(435) 512-1304
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Blake Denver Altom
GenderMale
SpecialityFoster Care Agency
Location242 Rosewood Cir, Logan, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255657201
  • Provider Enumeration Date: 04/15/2010
  • Last Update Date: 04/15/2010

Medical Identifiers

Medical identifiers for Mr Blake Denver Altom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255657201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 7195889-3904 (Utah)Secondary
253J00000XFoster Care Agency (* (Not Available))Primary

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. Mr Blake Denver Altom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Blake Denver Altom, MS, MFT INTERN
242 Rosewood Cir,
Logan, UT 84321-5045

Ph: (435) 512-1304		Mr Blake Denver Altom, MS, MFT INTERN
242 Rosewood Cir,
Logan, UT 84321-5045

Ph: (435) 512-1304

Reviews and Comments


Foster Care Agency in Logan, UT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.