Blaise Fortunata, PSYCHOLOGIST in Hyannis, MA - Medicare Psychologist Provider

Blaise Fortunata, PSYCHOLOGIST is a medicare enrolled "Psychologist" provider in Hyannis, Massachusetts. Her current practice location is 460 W Main St, Hyannis, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 790-3360.

Blaise Fortunata is licensed to practice in Massachusetts (license number 8563) 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 1609816636.

Contact Information

	Blaise Fortunata, PSYCHOLOGIST
	460 W Main St, Hyannis, MA 02601-3855
	(508) 790-3360
	(508) 790-3378

Map and Direction

Healthcare Provider's Profile

Full Name	Blaise Fortunata
Gender	Female
Speciality	Psychologist
Location	460 W Main St, Hyannis, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609816636
Provider Enumeration Date: 06/07/2006
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6002826351
Enrollment ID: I20160210002223

Medical Identifiers

Medical identifiers for Blaise Fortunata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609816636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	8563 (Massachusetts)	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. Blaise Fortunata allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Blaise Fortunata 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
Blaise Fortunata, PSYCHOLOGIST 460 W Main St, Hyannis, MA 02601-3855 Ph: (508) 790-3360	Blaise Fortunata, PSYCHOLOGIST 460 W Main St, Hyannis, MA 02601-3855 Ph: (508) 790-3360

Reviews and Comments

Psychologist in Hyannis, MA

Dr. Paul E Laemmle, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 745 Falmouth Rd, Hyannis, MA 02601 Phone: 508-771-3130 Fax: 508-771-3144
Jason Henry Hoag, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Independence Dr Unit 8, Hyannis, MA 02601 Phone: 508-778-1839
Dr. Richard Louis Pisano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 745 Falmouth Rd, Hyannis, MA 02601 Phone: 508-771-3130 Fax: 508-771-3144
Stefanie Meril Adams, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 218 W Main St, Hyannis, MA 02601 Phone: 508-771-4640 Fax: 508-790-4880
Kristy Jean Atwell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 116 Camp St, Hyannis, MA 02601 Phone: 508-534-9140
John Bertera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 460 West Main St, Hyannis, MA 02601 Phone: 508-790-3375 Fax: 508-790-3304
Richard Sommers, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Breakwater Shores Dr, Hyannis, MA 02601 Phone: 509-790-0931

Blaise Fortunata, PSYCHOLOGIST - Medicare Psychologist in Hyannis, MA