Dr Stacy J Blankenbuehler, PHD in Evansville, IN - Medicare Psychologist Provider

Dr Stacy J Blankenbuehler, PHD is a medicare enrolled "Psychologist" provider in Evansville, Indiana. Her current practice location is 421 Chestnut St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 426-9779.

Dr Stacy J Blankenbuehler is licensed to practice in Indiana (license number 20042344A) 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 1003050907.

Contact Information

	Dr Stacy J Blankenbuehler, PHD
	421 Chestnut St, Evansville, IN 47713-1227
	(812) 426-9779
	(812) 426-6610

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacy J Blankenbuehler
Gender	Female
Speciality	Psychologist
Location	421 Chestnut St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003050907
Provider Enumeration Date: 04/23/2009
Last Update Date: 01/02/2013

Medicare PECOS Information:

PECOS PAC ID: 4688727613
Enrollment ID: I20090807000605

Medical Identifiers

Medical identifiers for Dr Stacy J Blankenbuehler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003050907	NPI	-	NPPES
200947210	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20042344A (Indiana)	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 Stacy J Blankenbuehler allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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 Stacy J Blankenbuehler 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 Stacy J Blankenbuehler, PHD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 450-6815	Dr Stacy J Blankenbuehler, PHD 421 Chestnut St, Evansville, IN 47713-1227 Ph: (812) 426-9779

Reviews and Comments

Psychologist in Evansville, IN

Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202

Dr Stacy J Blankenbuehler, PHD - Medicare Psychologist in Evansville, IN