Dr Richard Anthony Blackburn, PHD in Cambridge, MN - Medicare Clinical Psychologist Provider

Dr Richard Anthony Blackburn, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cambridge, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Nystrom And Associates Ltd and his current practice location is 817 Main St N, Cambridge, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 325-0300.

Dr Richard Anthony Blackburn is licensed to practice in Minnesota (license number LP 4743) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134293400.

Contact Information

	Dr Richard Anthony Blackburn, PHD
	817 Main St N, Cambridge, MN 55008-1275
	(763) 325-0300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Richard Anthony Blackburn
Gender	Male
Speciality	Clinical Psychologist
Experience	19 Years
Location	817 Main St N, Cambridge, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard Anthony Blackburn graduated from medical school in 2005

NPI Data:

NPI Number: 1134293400
Provider Enumeration Date: 11/20/2006
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0345242657
Enrollment ID: I20070215000025

Medical Identifiers

Medical identifiers for Dr Richard Anthony Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134293400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP 4743 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nystrom And Associates Ltd	6406752492	381

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 Richard Anthony Blackburn allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	Headway Emotional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386728228 PECOS PAC ID: 0840197828 Enrollment ID: O20031217000719

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 Richard Anthony Blackburn 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 Richard Anthony Blackburn, PHD 817 Main St N, Cambridge, MN 55008-1275 Ph: (763) 325-0300	Dr Richard Anthony Blackburn, PHD 817 Main St N, Cambridge, MN 55008-1275 Ph: (763) 325-0300

Reviews and Comments

Psychologist in Cambridge, MN

Ms. Suzanne Gayle Wenstrom Pocrnich, M.S., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 2nd Ave Sw, Cambridge, MN 55008 Phone: 763-689-9407
Barbara Olivia Erickson, M.A.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 2nd Ave Sw, Cambridge, MN 55008 Phone: 651-245-5217
Dr. Michael Peter Keller, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700
Dr. Jodi Janice Barstow Boos-blaszyk, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 612-262-1166
Alaina F Everitt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700
Marcella Louise Stoeckel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 2nd Ave Sw, Cambridge, MN 55008 Phone: 763-689-9407 Fax: 763-552-0164

Dr Richard Anthony Blackburn, PHD - Medicare Psychologist in Cambridge, MN