Dr David M Blaske, PHD in Jonesboro, AR - Medicare Psychologist Provider

Dr David M Blaske, PHD is a medicare enrolled "Psychologist" provider in Jonesboro, Arkansas. His current practice location is 2707 Browns Lane, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 972-4939.

Dr David M Blaske is licensed to practice in Arkansas (license number 92-15P) 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 1790733947.

Contact Information

	Dr David M Blaske, PHD
	2707 Browns Lane, Jonesboro, AR 72401
	(870) 972-4939
	(870) 972-4911

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David M Blaske
Gender	Male
Speciality	Psychologist
Location	2707 Browns Lane, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790733947
Provider Enumeration Date: 05/04/2006
Last Update Date: 12/03/2009

Medicare PECOS Information:

PECOS PAC ID: 3476689118
Enrollment ID: I20100331001300

Medical Identifiers

Medical identifiers for Dr David M Blaske such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790733947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	92-15P (Arkansas)	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 David M Blaske allows following entities to bill medicare on his behalf.

Entity Name	Northeast Arkansas Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118207 PECOS PAC ID: 0244130839 Enrollment ID: O20040110000206

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 David M Blaske 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
Dr David M Blaske, PHD 2707 Browns Lane, Jonesboro, AR 72401 Ph: (870) 972-4939	Dr David M Blaske, PHD 2707 Browns Lane, Jonesboro, AR 72401 Ph: (870) 972-4939

Reviews and Comments

Psychologist in Jonesboro, AR

Mr. David A Shade, M.S., LPE-I Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72401 Phone: 870-933-6886 Fax: 870-933-9395
Dr. Marilyn L Porter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Lane, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911
Mary Bryant, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Stone St, Jonesboro, AR 72401 Phone: 870-972-1268
M Elizabeth Huffstutter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Stillwater Dr, Jonesboro, AR 72404 Phone: 870-932-3600 Fax: 870-932-3611
Dr. Meagan Medley, LP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3420 Western Gales Dr, Jonesboro, AR 72405 Phone: 504-812-6665
Olimpia Rosario, MD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1815 Pleasant Grove Rd., Jonesboro, AR 72404 Phone: 870-933-6886
Margaret B Rector, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911

Dr David M Blaske, PHD - Medicare Psychologist in Jonesboro, AR