Charlene Blanchard Kallusch, PSYD in Bainbridge Island, WA - Medicare Clinical Psychologist Provider

Charlene Blanchard Kallusch, PSYD is a medicare enrolled "Psychologist" provider in Bainbridge Island, Washington. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Virginia Mason Medical Center and her current practice location is 1344 Wintergreen Ln Ne, Bainbridge Island, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 842-5632.

Charlene Blanchard Kallusch is licensed to practice in Washington (license number PY61400544) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538359179.

Contact Information

	Charlene Blanchard Kallusch, PSYD
	1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5147
	(206) 842-5632
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charlene Blanchard Kallusch
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	1344 Wintergreen Ln Ne, Bainbridge Island, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Blanchard Kallusch graduated from medical school in 2007

NPI Data:

NPI Number: 1538359179
Provider Enumeration Date: 07/30/2007
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5890923601
Enrollment ID: I20230918000288

Medical Identifiers

Medical identifiers for Charlene Blanchard Kallusch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538359179	NPI	-	NPPES
01CR	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY24134 (California)	Secondary
103T00000X	Psychologist	PY61400544 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virginia Mason Medical Center	9830002617	834

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. Charlene Blanchard Kallusch allows following entities to bill medicare on her behalf.

Entity Name	Virginia Mason Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383

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. Charlene Blanchard Kallusch 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
Charlene Blanchard Kallusch, PSYD Po Box 741515, Los Angeles, CA 90074-1515 Ph: (206) 515-5811	Charlene Blanchard Kallusch, PSYD 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5147 Ph: (206) 842-5632

Reviews and Comments

Psychologist in Bainbridge Island, WA

Dora Summers-ewing, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5660 Ne Tolo Rd, Bainbridge Island, WA 98110 Phone: 206-780-8452
Jane Ellen Curtis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11290 Sunrise Dr Ne, Bainbridge Island, WA 98110 Phone: 206-780-7782 Fax: 206-780-1964
Dr. Sandra Lee Paulsen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 755 Winslow Way E, Suite 105, Bainbridge Island, WA 98110 Phone: 206-855-1133
Dr. Robert Drury, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8836 Ferncliff Ave Ne, Bainbridge Island, WA 98110 Phone: 206-941-4882
Dr. Mary O'leary, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 998 Vineyard Ln Unit J301, Bainbridge Island, WA 98110 Phone: 206-777-5726
Dr. Davin Holland, PSY 60980939 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 Ericksen Ave Ne Ste 100, Bainbridge Island, WA 98110 Phone: 360-230-8141

Charlene Blanchard Kallusch, PSYD - Medicare Psychologist in Bainbridge Island, WA