Dr Charles Ebenezer Blair, PHD, RN, CS - Medicare Clinical Nurse Specialist in Houston, TX

Dr Charles Ebenezer Blair, PHD, RN, CS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Houston, Texas. His current practice location is 1120 Nasa Pkwy 220w, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 312-7268.

Dr Charles Ebenezer Blair is licensed to practice in Texas (license number 539564) 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 1144433954.

Contact Information

Dr Charles Ebenezer Blair, PHD, RN, CS
1120 Nasa Pkwy 220w,
Houston, TX 77058-3362
(903) 312-7268
(281) 331-4197

Map and Direction




Provider's Profile

Full NameDr Charles Ebenezer Blair
GenderMale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location1120 Nasa Pkwy 220w, Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144433954
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 12/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5991947764
  • Enrollment ID: I20130806000929

Medical Identifiers

Medical identifiers for Dr Charles Ebenezer Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144433954NPI-NPPES
0443392MedicaidTX
NP7054OtherTXBLUECROSS & BLUESHIELD PR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 539564 (Texas)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 Charles Ebenezer Blair allows following entities to bill medicare on his behalf.
Entity NameOn Site Counseling,inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720353048
PECOS PAC ID: 2860656808
Enrollment ID: O20120604000336
Entity NameHealth And Human Services Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058

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 Charles Ebenezer Blair 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 AddressPractice Location Address
Dr Charles Ebenezer Blair, PHD, RN, CS
1120 Nasa Pkwy 220w,
Houston, TX 77058-3362

Ph: (903) 312-7268
Dr Charles Ebenezer Blair, PHD, RN, CS
1120 Nasa Pkwy 220w,
Houston, TX 77058-3362

Ph: (903) 312-7268

Reviews and Comments


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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.

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