Laura Ann Bleistein, PSYD in Provo, UT - Medicare Psychologist Provider

Laura Ann Bleistein, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Provo, Utah. Her current practice location is 1300 E Center St, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 344-4400.

Laura Ann Bleistein is licensed to practice in California (license number PSY28404) 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 1164682506.

Contact Information

	Laura Ann Bleistein, PSYD
	1300 E Center St, Provo, UT 84606-3554
	(801) 344-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Ann Bleistein
Gender	Female
Speciality	Psychologist - Clinical
Location	1300 E Center St, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164682506
Provider Enumeration Date: 06/10/2008
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0042650905
Enrollment ID: I20240425003804

Medical Identifiers

Medical identifiers for Laura Ann Bleistein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164682506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY28404 (California)	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. Laura Ann Bleistein allows following entities to bill medicare on her behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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. Laura Ann Bleistein 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
Laura Ann Bleistein, PSYD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400	Laura Ann Bleistein, PSYD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400

Reviews and Comments

Psychologist in Provo, UT

Eliza Rachelle Gedge, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-0639 Fax: 801-373-0639
Eric Ghelfi, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 803, Provo, UT 84604 Phone: 801-235-7246
Dr. Jeffrey Bentley, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 803, Provo, UT 84604 Phone: 801-235-7246
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215

Laura Ann Bleistein, PSYD - Medicare Psychologist in Provo, UT