Ethan Bliss, PHD in Frederick, MD - Medicare Clinical Psychologist Provider

Ethan Bliss, PHD is a medicare enrolled "Psychologist - Clinical" provider in Frederick, Maryland. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Center For Integrative Healthcare, Llc and his current practice location is 340 Park Ave, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 663-1683.

Ethan Bliss is licensed to practice in Maryland (license number 04888) 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 1851428460.

Contact Information

	Ethan Bliss, PHD
	340 Park Ave, Frederick, MD 21701-4931
	(301) 663-1683
	(301) 663-3792

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Bliss
Gender	Male
Speciality	Clinical Psychologist
Experience	15 Years
Location	340 Park Ave, Frederick, Maryland
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:

Ethan Bliss graduated from medical school in 2009

NPI Data:

NPI Number: 1851428460
Provider Enumeration Date: 02/28/2007
Last Update Date: 11/22/2010

Medicare PECOS Information:

PECOS PAC ID: 8224219241
Enrollment ID: I20110224000263

Medical Identifiers

Medical identifiers for Ethan Bliss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851428460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	04888 (Maryland)	Primary
103T00000X	Psychologist	20042437A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	39001937A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	MH 7447 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Center For Integrative Healthcare, Llc	7517974256	2

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. Ethan Bliss allows following entities to bill medicare on his behalf.

Entity Name	The Center For Integrative Healthcare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952434730 PECOS PAC ID: 7517974256 Enrollment ID: O20080918000544

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. Ethan Bliss 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
Ethan Bliss, PHD 121 Manda Dr, Middletown, MD 21769-7853 Ph: (301) 508-0102	Ethan Bliss, PHD 340 Park Ave, Frederick, MD 21701-4931 Ph: (301) 663-1683

Reviews and Comments

Psychologist in Frederick, MD

Dr. Irene W Leigh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 E 2nd St, Unit 203, Frederick, MD 21701 Phone: 240-292-6798
Dr. Mark Douglas Springston, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3390 Urbana Pike, Frederick, MD 21704 Phone: 301-788-5351 Fax: 301-965-8264
Dr. Jane E Sachs, JD, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 702 N Market St, Frederick, MD 21701 Phone: 301-676-1617
Dr. Alycia Gagne Chapman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702 Phone: 301-662-3808
Christie Lynn Tanner-gorman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702 Phone: 301-695-8390 Fax: 301-694-7906
Dr. Steven Gary Feifer, D.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702 Phone: 301-662-3808 Fax: 301-695-9694
Dr. Shouh-rong Vivian Tsai, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5301 Buckeystown Pike Ste 440, Frederick, MD 21704 Phone: 240-651-3890 Fax: 240-815-6015

Ethan Bliss, PHD - Medicare Psychologist in Frederick, MD