Brianna Marie Blake, in Hartford, CT - Medicare Psychologist Provider

Brianna Marie Blake, is a medicare enrolled "Psychologist - Clinical" provider in Hartford, Connecticut. Her current practice location is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-7203.

Brianna Marie Blake is licensed to practice in Connecticut (license number 003606) 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 1366984338.

Contact Information

	Brianna Marie Blake,
	200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310
	(860) 545-7203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brianna Marie Blake
Gender	Female
Speciality	Psychologist - Clinical
Location	200 Retreat Avenue, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366984338
Provider Enumeration Date: 11/08/2016
Last Update Date: 12/05/2016

Medicare PECOS Information:

PECOS PAC ID: 9436430543
Enrollment ID: I20170104001288

Medical Identifiers

Medical identifiers for Brianna Marie Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366984338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	003606 (Connecticut)	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. Brianna Marie Blake allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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. Brianna Marie Blake 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
Brianna Marie Blake, 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 Ph: (860) 545-7203	Brianna Marie Blake, 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 Ph: (860) 545-7203

Reviews and Comments

Psychologist in Hartford, CT

Dr. Brian T Conover, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-293-6353 Fax: 860-293-6356
Ms. Omayra M. Carrion, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 860-793-3373
Dr. Deborah Jean Stack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 682 Prospect Avenue, Hartford, CT 06105 Phone: 860-258-6065 Fax: 860-232-5077
Dr. Alexandra Giatrelis Munro, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 76 New Britain Ave, Hartford, CT 06106 Phone: 860-547-0970
Dr. Luke Hendren, Psychologist Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7514
James Degiovanni, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 Phone: 860-545-7167 Fax: 860-545-7222
Dr. Allan L. Schiffer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 674 Prospect Ave, Hartford, CT 06105 Phone: 860-233-6228 Fax: 860-233-2371

Brianna Marie Blake, - Medicare Psychologist in Hartford, CT