Elizabeth Marie Blair, PSYD in Glendale, WI - Medicare Psychologist Provider

Elizabeth Marie Blair, PSYD is a medicare enrolled "Psychologist" provider in Glendale, Wisconsin. Her current practice location is 5900 N Port Washington Rd, Ste 230, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 962-4048.

Elizabeth Marie Blair is licensed to practice in Wisconsin (license number 2121057) 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 1730107228.

Contact Information

	Elizabeth Marie Blair, PSYD
	5900 N Port Washington Rd, Ste 230, Glendale, WI 53217
	(414) 962-4048
	(414) 962-4052

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Marie Blair
Gender	Female
Speciality	Psychologist
Location	5900 N Port Washington Rd, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730107228
Provider Enumeration Date: 07/17/2006
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 4981658218
Enrollment ID: I20050309000417

Medical Identifiers

Medical identifiers for Elizabeth Marie Blair such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730107228	NPI	-	NPPES
39125400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2121057 (Wisconsin)	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. Elizabeth Marie Blair allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Consultants & Therapists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700818119 PECOS PAC ID: 5092740985 Enrollment ID: O20050929000204

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. Elizabeth Marie Blair 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
Elizabeth Marie Blair, PSYD 5900 N Port Washington Rd, Ste 230, Glendale, WI 53217 Ph: (414) 962-4048	Elizabeth Marie Blair, PSYD 5900 N Port Washington Rd, Ste 230, Glendale, WI 53217 Ph: (414) 962-4048

Reviews and Comments

Psychologist in Glendale, WI

Dr. Christopher Joseph Daood, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 W Riverview Dr, Glendale, WI 53209 Phone: 414-617-3704
Dr. Caroline G Schmidt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217 Phone: 262-542-3255 Fax: 414-967-7965
Ted Terry Bruce, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Rd, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866
Robert L. Welker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 250 W Coventry Ct, Suite 209, Glendale, WI 53217 Phone: 414-351-7726 Fax: 414-351-7721
Ms. Mary Catherine Enderlin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866
Mr. Mike Zussman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5800 N Bayshore Dr Ste A250, Glendale, WI 53217 Phone: 414-962-6764 Fax: 414-962-6765
Dr. Patricia Meyer Chan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 Phone: 414-962-6764 Fax: 414-962-6765

Elizabeth Marie Blair, PSYD - Medicare Psychologist in Glendale, WI