Dr Tricia Denise Thornburgh Blatchford, PSYD is a medicare enrolled "Psychologist" provider in Arkansas City, Kansas. Her current practice location is
801 S Boyer Rd, Arkansas City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 660-2192.
Dr Tricia Denise Thornburgh Blatchford is licensed to practice in Kansas (license number 1752) 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 1093765661.
Healthcare Provider's Profile
| Full Name | Dr Tricia Denise Thornburgh Blatchford |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 801 S Boyer Rd, Arkansas City, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093765661
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 09/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 8921902172
- Enrollment ID: I20191221000705
Medical Identifiers
Medical identifiers for Dr Tricia Denise Thornburgh Blatchford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093765661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | 1752 (Kansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1752 (Kansas) | Secondary |
| 103T00000X | Psychologist | 1752 (Kansas) | 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 Tricia Denise Thornburgh Blatchford allows following entities to bill medicare on her behalf.
| Entity Name | South Central Mental Health Counseling Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538155882
PECOS PAC ID: 3375437973
Enrollment ID: O20040213000114 |
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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 Tricia Denise Thornburgh Blatchford 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 Tricia Denise Thornburgh Blatchford, PSYD
801 S Boyer Rd,
Arkansas City, KS 67005-9380
Ph: (620) 660-2192 | Dr Tricia Denise Thornburgh Blatchford, PSYD
801 S Boyer Rd,
Arkansas City, KS 67005-9380
Ph: (620) 660-2192 |
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