Mrs Olivia Paige Blalock, RD in Lake Charles, LA - Medicare Dietitian, Registered Provider

Mrs Olivia Paige Blalock, RD is a medicare enrolled "Dietitian, Registered" provider in Lake Charles, Louisiana. Her current practice location is 1727 Imperial Blvd, Building 2, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 310-3670.

Mrs Olivia Paige Blalock is licensed to practice in Louisiana (license number 2541) 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 1598176653.

Contact Information

	Mrs Olivia Paige Blalock, RD
	1727 Imperial Blvd, Building 2, Lake Charles, LA 70605-5362
	(337) 310-3670
	(337) 421-1408

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Olivia Paige Blalock
Gender	Female
Speciality	Dietitian, Registered
Location	1727 Imperial Blvd, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598176653
Provider Enumeration Date: 05/12/2014
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 2264650027
Enrollment ID: I20140820002202

Medical Identifiers

Medical identifiers for Mrs Olivia Paige Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598176653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2541 (Louisiana)	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. Mrs Olivia Paige Blalock allows following entities to bill medicare on her behalf.

Provider Name	Imperial Health Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053352401 PECOS PAC ID: 7719886779 Enrollment ID: O20040108000257

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. Mrs Olivia Paige Blalock 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
Mrs Olivia Paige Blalock, RD 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8258	Mrs Olivia Paige Blalock, RD 1727 Imperial Blvd, Building 2, Lake Charles, LA 70605-5362 Ph: (337) 310-3670

Reviews and Comments

Dietitian, Registered in Lake Charles, LA

Women & Children's Hospital Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-474-6370 Fax: 337-475-4143
Hailey Crawford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601 Phone: 337-475-8100 Fax: 337-475-8510
Mrs. Courtney E Foch Labove, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605 Phone: 337-310-3670 Fax: 337-421-1408
Samantha A Rider, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605 Phone: 337-310-3670
Mr. Daniel Morel, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-475-8129
Rachel Jeanette Hungerford, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Aberdeen Dr, Lake Charles, LA 70605 Phone: 337-274-5635
Tracey Elizabeth Timmons, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3236 Kirkman St, Lake Charles, LA 70601 Phone: 337-480-2632 Fax: 337-475-8613

Mrs Olivia Paige Blalock, RD - Medicare Dietitian in Lake Charles, LA